Spontaneous Urine Extravasation Caused by Ureteral Metastasis from a Cervical Adenocarcinoma.
- Author:
Seong Su KIM
1
;
Sun Bong KIM
;
Hyun Chul YUN
;
Yong Wan SEONG
;
Eun Yong CHOI
;
Duk Kyo KIM
;
Byung Du LEE
Author Information
1. Departments of Urology, Hanil General Hospital, Seoul, Korea. urocey@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Cervical adenocarcinoma;
Ureteral metastasis;
Spontaneous urine extravasation
- MeSH:
Adenocarcinoma*;
Aged;
Biopsy;
Cervix Uteri;
Constriction, Pathologic;
Female;
Humans;
Neoplasm Metastasis*;
Ureter*
- From:Korean Journal of Urology
2002;43(10):897-901
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous urine extravasation due to metastatic cancer is extremely rare. We experienced a case of urine extravasation caused by ureteral metastasis from a cervical adenocarcinoma in a 69-year-old woman. On operating, a 3cm length ureter stricture was found in the upper third of the left ureter. There were no malignant cells in a frozen biopsy, and no urine leakage site was detected. An end-to-end ureteroureterostomy was performed by the tension-free method. The permanent histology of the ureterectomy specimen revealed a metastatic adenocarcinoma, identical to that obtained from the punch biopsy of the cervix. The urine leakage persisted following the end-to-end ureteroureterostomy, whereupon a nephroureterectomy was performed.
