Pulmonary metastasis from urothelial carcinoma of the upper urinary tract 29 years after nephrectomy

Abstract

Background

Late pulmonary metastasis from urothelial carcinoma (UC) of the upper urinary tract is extremely rare.

Case presentation

A 76-year-old man was referred to our hospital due to an abnormal shadow on chest X-ray. He had a history of left nephrectomy with a diagnosis of UC in the renal pelvis 29 years previously. Computed tomography showed a mass lesion in the right middle lobe of the lung that measured 4.9 cm in diameter. A transbronchial biopsy revealed the tumor to be metastatic pulmonary UC, and he underwent right middle lobectomy of the lung.

Conclusion

Long-term postoperative follow-up of patients with UC might be necessary after radical nephrectomy.

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