ArticleIJU case reports2026
Ureteral Metastasis From Endometrial Carcinoma Mimicking Upper Tract Urothelial Carcinoma.
Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Introduction: Ureteral metastasis from endometrial carcinoma is extremely rare. We report a case identified at the time of the initial diagnosis of endometrial carcinoma. Case Presentation: A 64-year-old woman presented with suspected endometrial carcinoma. Contrast-enhanced computed tomography revealed hydronephrosis and a left ureteral mass suggestive of upper tract urothelial carcinoma (UTUC). Urine cytology showed malignant cells, but ureteroscopy was inconclusive. Because UTUC can affect management and prognosis, simultaneous surgery, including nephroureterectomy, was performed. Histopathological examination revealed ureteral adenocarcinoma morphologically similar to endometrial carcinoma. Immunohistochemical staining demonstrated PAX8 positivity, supporting the diagnosis of metastatic endometrial carcinoma. The final diagnosis was stage IVB endometrial carcinoma. Conclusion: Ureteral metastasis from endometrial carcinoma is extremely uncommon and may closely mimic UTUC on imaging, making preoperative diagnosis difficult.
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