Ureteral Mass in a Patient with Localized Prostate Adenocarcinoma, A Rare Metastatic Location

A 69-aged man with localized adenocarcinoma prostate cancer, treated with radical radiotherapy and intermittent hormonal therapy 12 years ago, initiate with objective hematuria. CT scan showed a retroperitoneal mass infiltrating all along the right ureter with hydronephrosis. No other metastatic involvement was observed but PSA raised until 120ng/dl (previous normal). As ureteral metastases from a prostate adenocarcinoma are extremely rare, we made a differential diagnosis between the more common entities affecting the upper urinary tract and retroperitoneum. Finally, the biopsy of the mass revealed infiltration from prostate cancer. Thus, we present a patient with really atypical dissemination of prostate adenocarcinoma with parallel rising PSA-levels but without any other metastatic disease.