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原发性乳腺癌偶然发现输尿管转移:一例报告并文献复习

Ureteral metastasis incidentally found from primary breast cancer: A case report and review of the literature.

作者信息

Satariano Matthew, Wong Vivian, Sweigert Sarah

机构信息

Northeast Ohio Medical University, USA.

The Ohio State University Wexner Medical Center Department of Urology, USA.

出版信息

Urol Case Rep. 2025 Mar 5;60:103003. doi: 10.1016/j.eucr.2025.103003. eCollection 2025 May.

Abstract

Breast cancer metastasis to the ureter has been rarely reported and is typically diagnosed by autopsy or radiographically rather than by pathological inspection. We present the rare case of a 60-year-old female in which computed tomography urography imaging during nephrolithiasis revealed an incidental ureteral mass. Pathology workup following mass biopsy was estrogen receptor positive, progesterone receptor negative, and HER2 negative. The patient was ultimately diagnosed with metastatic lobular carcinoma of breast origin based on pathology from the axillary lymph node tissue. This case adds to the body of literature of a rare presentation of ureteral involvement from primary breast cancer.

摘要

乳腺癌转移至输尿管的情况鲜有报道,通常是通过尸检或影像学检查而非病理检查来诊断。我们报告了一例罕见病例,一名60岁女性,在肾结石检查期间的计算机断层扫描尿路造影成像中偶然发现输尿管肿物。肿物活检后的病理检查显示雌激素受体阳性、孕激素受体阴性、人表皮生长因子受体2阴性。最终,根据腋窝淋巴结组织的病理结果,该患者被诊断为原发性乳腺小叶癌转移。此病例丰富了原发性乳腺癌累及输尿管这一罕见表现的文献资料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a138/11950776/635c97dd20be/gr1.jpg

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