PRIMARY ADENOCARCINOMA OF THE LOWER URETER – A CASE REPORT

Abstract

Adenocarcinomas of the ureter are extremely rare tumoursand less than twenty cases have been reported in english literature. Due to the non specific clinical and imaging characteristics of these neoplasms, a preoperative diagnosis is only made rarely. We report a case of primary ureteric adenocarcinoma in a middle aged male and describe the computed tomographic findings. A 45 year old male presented with long standing hematuria and loin pain. Ultrasound and computed tomographic examinations revealed a small homogenous mass in lower ureter casuing luminal obstruction. The tumor was biopsied by ureteroscopy and a histopathological diagnosis of “Adenocarcinoma ureter - non villous subtype” was made following which aradical nephroureterectomy was performed.

Key words: Adenocarcinoma, ureteric tumour, hematuria