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J Clin Pathol. 2000 August; 53(8): 639–640.
doi: 10.1136/jcp.53.8.639.
PMCID: PMC1762927
Synchronous presentation of primary renal adenocarcinoma and contralateral ureteric metastasis
I Pearce, J Harney, and R McMahon
Manchester Royal Infirmary, UK.
Abstract
The synchronous presentation of a primary renal adenocarcinoma and contralateral uretic metastasis is discussed. The pattern of immunohistochemical staining confirmed that the contralateral ureteric obstruction was the result of a metastasis from the primary renal adenocarcinoma.

Key Words: primary renal adenocarcinoma • contralateral ureteric metastasis

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Figures and Tables
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Figure 1 Bilateral nephrostograms showing obstruction of the right pelvicalyceal system at the level of L3 and almost complete non-visualisation of the left side.
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Figure 2 Renal cell carcinoma of predominantly clear cell type (haematoxylin and eosin; magnification, x120).
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Figure 3 Lower end of ureter demonstrating infiltration of wall by a malignant tumour shown on immunostaining with CAM5.2 (magnification, x11).
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Figure 4 Wall of ureter infiltrated by a carcinoma showing both clear and granular cell patterns (haematoxylin and eosin; magnification, x120)