Ureteric obstruction secondary to metastatic breast carcinoma

ABSTRACT

Ureteric obstruction presenting as hydronephrosis and hydroureter is a rare manifestation of metastatic breast cancer. Obstruction may be due to retroperitoneal fibrosis, retroperitoneal metastases or ureteric metastases. Apart from carcinoma of the breast, gastric cancer and renal cell carcinoma can also cause similar manifestation. The case report of a 75-year old female is described who presented with left moderate hydronephrosis and hydroureter and right mild hydronephrosis which was found to be due to metastatic invasive duct cancer of the breast. This is the first report of metastatic ureteric obstruction secondary to breast cancer managed successfully by anti-estrogenic therapy