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Renal carcinoma Ureteric tumour Survival Surgical intervention Abstract We report a case of renal carcinoma which presented initially with lymphatic spread. Five years later, a contralateral ureteric tumour was excised, with to date, 2 years of disease-free survival. Isolated ureteric metastases are very uncommon. F.I. Chinegwundoh, FRCS, 36 Paxford Way, Northfield, Birmingham B31 1HL (UK) Introduction The propensity for renal cell carcinomas to metastasise is well recognised. Lung, bone and lymph nodes are the most common metastatic sites. Metastasis to other parts of the urinary tract is uncommon. We report a case in which an isolated contralateral ureteric metastasis occurred several years after nephrectomy. ‘Cure’ was achieved by resection of the lesion. excised and ureteric continuity restored by an end-to-end anastomosis. Histology demonstrated a 2 × 1 × 1 cm polypoid tumour within the ureter. Within the ureteric submucosa, a deposit of clear cell carcinoma consistent with a metastasis from the previous renal carcinoma was observed (fig. 1). No evidence of further metastatic disease was found. He remains well 2 years later, with urea being 14.3 mmol/ 1 and creatinine 185 mmol/l.