Korean J Urol.
2002 Oct;43(10):897-901.
Spontaneous Urine Extravasation Caused by Ureteral Metastasis from a Cervical Adenocarcinoma
- Affiliations
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- 1Departments of Urology, Hanil General Hospital, Seoul, Korea. urocey@yahoo.co.kr
- 2Departments of Anatomic Pathology, Hanil General Hospital, Seoul, Korea.
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.
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