Late recurrence of uterine endometrioid carcinoma in the upper urinary tract

Yuzuri Tsurumaki, Haruki Kume, Yukio Homma
In: Archives of Gynecology and Obstetrics · 2009 · vol. 280(4) , pp. 631–632 · doi:10.1007/s00404-009-0949-8 · PMID:19198862 · W2058635059
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-14 ⓘ

This case report presents a 72-year-old female who experienced ureteral cancer 11 years after hysterectomy, which proved to be endometrioid carcinoma similar to her previous uterine cancer.

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This paper reports an unusual case of late recurrence of uterine endometrioid carcinoma in the upper urinary tract, occurring 11 years after a hysterectomy for uterine corpus cancer. A 72-year-old woman presented with left ureteral cancer and underwent nephroureterectomy, and histology showed endometrioid carcinoma in the urinary tract that was similar to the original uterine tumor. The authors discuss a possible pathogenesis for how the recurrence occurred, noting the case-report nature as the main limitation (there is no broader study or systematic evidence). This paper is centrally about endometriosis — it references urinary tract endometriosis as a related context for an endometrioid carcinoma case, linking the report to endometriosis-associated mechanisms in the urinary tract.

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Abstract

We will present an unusual case of endometrioid carcinoma that recurred in the upper urinary tract, showing an intraluminal spread, 11 years after hysterectomy for uterine corpus cancer. The case is a 72-year-old female who was referred to us for treatment of left ureteral cancer, at first. Nephroureterectomy was performed and histological examination showed endometrioid carcinoma similar to that resected 11 years earlier. A possible pathogenesis of this case will be discussed.
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Abstract

We will present an unusual case of endometrioid carcinoma that recurred in the upper urinary tract, showing an intraluminal spread, 11 years after hysterectomy for uterine corpus cancer. The case is a 72-year-old female who was referred to us for treatment of left ureteral cancer, at first. Nephroureterectomy was performed and histological examination showed endometrioid carcinoma similar to that resected 11 years earlier. A possible pathogenesis of this case will be discussed.

References

Thorup B, Fabrin K, Lund L (2001) Implantation metastasis in ureter from a colonic adenocarcinoma. Scand J Urol Nephrol 135:420–421 Williams DF, Chaffey BT (1966) Metastatic adenocarcinoma of the sigmoid colon masquerading as bilateral intraluminal ureteral papillomas. Br J Urol 38:563–566. doi:10.1111/j.1464-410X.1966.tb09754.x Lorenz U, Gassel AM, Thiede A, Gassel HJ (2004) Endometrial carcinoma recurrence in an abdominal scar 14 years after total hysterectomy. Gynecol Oncol 95:393–395. doi:10.1016/j.ygyno.2004.05.043 Hoang CD, Boettcher AK, Jessurun J, Pambuccian SE, Bullard KM (2005) An unusual rectosigmoid mass: endometrioid adenocarcinoma arising in colonic endometriosis: case report and literature review. Am Surg 71:694–697 Schneider A, Touloupidis S, Papatsoris AG, Triantafyllidis A, Kollias A, Schweppe KW (2006) Endometriosis of the urinary tract in women of reproductive age. Int J Urol 13:902–904. doi:10.1111/j.1442-2042.2006.01437.x Comiter CV (2002) Endometriosis of the urinary tract. Urol Clin North Am 29:625–635. doi:10.1016/S0094-0143(02)00065-4 Conflict of interest statement None. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Tsurumaki, Y., Kume, H. & Homma, Y. Late recurrence of uterine endometrioid carcinoma in the upper urinary tract. Arch Gynecol Obstet 280, 631–632 (2009). https://doi.org/10.1007/s00404-009-0949-8 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-009-0949-8

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