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Late metastasis of right breast cancer to renal pelvis and right ureter. A case report.

ANTECEDENTES: Las metástasis de mama a uréter son extremadamente raras y la mayoría son asintomáticas.

CASO CLÍNICO: Mujer de 67 años, con cáncer de mama derecha EC IA luminal A de 5 años de evolución. Presentó infección de vías urinarias de repetición, hematuria macroscópica total y dolor renal derecho. La tomografía abdominopélvica mostró dilatación del cáliz superior y defecto de llenado en la pelvis renal derechos. Se le realizó nefroureterectomía radical derecha, rodete vesical. El reporte histopatológico fue metástasis de carcinoma infiltrante con afectación de pelvis renal y uréter.

CONCLUSIONES: La metástasis tardía del cáncer de mama al uréter y la pelvis es rara.

BACKGROUND: Breast metastases to ureter are extremely rare. Most are asymptomatic.

CASE REPORT: A 67-year-old woman with 5 years of evolution, with right breast cancer stage IA luminal A. She presented repeated urinary tract infection, total macroscopic hematuria and pain in the right renal fossa. The computed tomography showed dilation of the upper calyx and filling defect in the renal pelvis. A right laparoscopic radical nephroureterectomy was realized; the histopathological report was metastasis of infiltrating carcinoma without specific pattern involving renal pelvis and ureter.

CONCLUSIONS: Late metastasis of breast cancer to ureter and pelvis are rare.

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