胃腺癌的异时性输尿管转移：病例报告及文献复习。
Metachronous ureteral metastasis of a gastric adenocarcinoma: a case report and review of literature.
机构信息
Department of Radiation Oncology, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Department of Pathology, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
出版信息
J Med Case Rep. 2023 Aug 11;17(1):357. doi: 10.1186/s13256-023-04065-y.
BACKGROUND
Ureteral metastasis from gastric cancers are rare and can be a cause of ureteral obstruction. There have been few published case reports in the literature. In this paper, we report an additional case and a review of the literature of all the previous reported cases.
CASE PRESENTATION
A 67 years old North African women who was treated four years before for a gastric adenocarcinoma, presented with abdominal pain. Imaging and endoscopy showed a mural stenosis of the left ureter, without any other abnormality. Histopathology confirmed the gastric origin of the metastasis. A palliative chemotherapy was foreseen, but due to the deterioration of the general condition of the patient, she received palliative care. We have also reviewed the literature and reported the previously published cases of ureteral metastasis from gastric cancer.
CONCLUSIONS
It is worth recalling that in a context of neoplasia and with the presence of signs of ureteral obstruction, it is important to keep in mind the possibility of a ureteral metastasis.
背景
来自胃癌的输尿管转移较为罕见，但可能导致输尿管梗阻。文献中已有少量病例报道。本文报告了另外 1 例，并对所有先前报道的病例进行了文献复习。
病例介绍
一名 67 岁的北非女性，4 年前因胃腺癌接受治疗，现因腹痛就诊。影像学和内镜检查显示左侧输尿管壁狭窄，无其他异常。组织病理学证实转移来自胃部。预计进行姑息性化疗，但由于患者一般状况恶化，她接受了姑息治疗。我们还复习了文献，并报告了先前报道的胃腺癌输尿管转移病例。
结论
在肿瘤发生的情况下，且存在输尿管梗阻的体征时，需要牢记输尿管转移的可能性。
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