Small Cell Carcinoma of the Ureter : A Case Report

A 69-year-old man visited our hospital with a chief complaint of asymptomatic gross hematuria. Retrograde pyelography revealed a tumor in the right mid ureter, and right nephroureterecotmy was performed. Histological examination revealed small cell carcinoma (pT2, N0, M0). Histologically, the tumor had invaded the muscle layer of the ureter, and combination chemotherapy with cisplatin and etoposide (EP therapy) was administered. Twelve months after the operation, the patient was admitted to our hospital with local recurrence. TUR-Bt was performed and histological examination revealed transitional cell carcinoma. Lymph node metastasis was identified after TUR-Bt. Another course of EP therapy was administered along with irradiation to the pelvis. However, multiple liver and lung metastases appeared and the patient died 3 years after nephroureterectomy