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Cancer of the Ureter

Philip Rubin, MD

JAMA. 1969;207(6):1138-1139.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Cancer of the ureter is rarely thought of when a patient is seen with one or a combination of the following: hematuria, back pain, or palpable abdominal mass. Most often, he is a man in the sixth decade of life, complaining of painless hematuria, although pain due to passage of clots can occur. Obstruction with hydronephrosis is an invariable complication, and produces a dull, aching back pain in the region of the kidney, but as the cancer infiltrates beyond the ureter, the pain becomes more localized and intense. Nodal metastases may result in spread beyond the capsule of the lymph gland into the lumbar vertebrae and nerve roots, causing severe, persistent, lacerating pain.

The diagnosis of primary ureteral cancer is made preoperatively in only 50% of the patients,²³ since the ureter is more commonly involved secondarily by extrinsic neoplasms. The pyelogram is not characteristic and shows obstruction of the . . . [Full Text PDF of this Article]

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