A Rare Case Of Ureteral Metastasis Of Invasive Ductal Breast Carcinoma Twenty Years Later

Breast cancer is the most frequently diagnosed malignancy in women; however, ureteral metastasis, particularly five or more years after the initial diagnosis, has rarely been reported in the literature. We present a case of ureteral metastasis of invasive ductal breast carcinoma twenty years post-diagnosis in a 61-year-old female who was admitted to our hospital with abdominal pain. Abdominal ultrasonography and computerized tomography revealed a 36x27x21 mm solid mass around the left ureter. The patient underwent trucut biopsy, and after histopathologic examination and immunostaining, a diagnosis of invasive ductal breast carcinoma metastasis was determined. The patient received preoperative radiotherapy and surgical resection of the metastatic lesion has been planned. In a patient with a history of breast cancer, a thorough radiological examination of even the most unlikely secondary sites should be performed.