{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:04Z","timestamp":1756289404220,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,8]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>We report a man in his late 60s who presents with gross haematuria. He had a history of radical nephrectomy for renal clear cell cancer almost two decades ago. The CT showed an enhancing lesion in the distal ureteric stump, possibly urothelial carcinoma (UC). Ureterectomy and bladder cuff excision were done. Surprisingly, the biopsy revealed intraluminal renal clear cell carcinoma (RCC). The postoperative course was uneventful. The patient is free from disease at a 2\u2009year follow-up. It is crucial to consider recurrent RCC in such a clinical scenario. This case also highlights the importance of prolonged surveillance for localised RCC (postsurgery) to detect late recurrence. Resection of such recurrence with curative intent confers good outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2024-264309","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T15:20:27Z","timestamp":1745335227000},"page":"e264309","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Solitary recurrence of renal cell carcinoma in the ureter nearly two decades after radical nephrectomy"],"prefix":"10.1136","volume":"18","author":[{"given":"Abhik","family":"Debnath","sequence":"first","affiliation":[{"name":"Dept of Urology, Christian Medical College Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Partho","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Dept of Urology, Christian Medical College Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhuri Evangeline","family":"Sadanala","sequence":"additional","affiliation":[{"name":"Dept of Urology, Christian Medical College Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4092-8236","authenticated-orcid":false,"given":"Nirmal Thampi","family":"John","sequence":"additional","affiliation":[{"name":"Dept of Urology, Christian Medical College Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"2025082702551732000_18.4.e264309.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.05.034"},{"key":"2025082702551732000_18.4.e264309.2","first-page":"7","article-title":"Cancer statistics, 2019","volume":"69","author":"Siegel","year":"2019","journal-title":"CA A Cancer J Clinicians"},{"key":"2025082702551732000_18.4.e264309.3","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/1477-7819-3-48","article-title":"Management of renal cell carcinoma with solitary metastasis","volume":"3","author":"Thyavihally","year":"2005","journal-title":"World J Surg Onc"},{"key":"2025082702551732000_18.4.e264309.4","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1998.16.6.2261"},{"key":"2025082702551732000_18.4.e264309.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.03.006"},{"key":"2025082702551732000_18.4.e264309.6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11234"},{"key":"2025082702551732000_18.4.e264309.7","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.61.8009"},{"key":"2025082702551732000_18.4.e264309.8","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000148951.71353.8b"},{"key":"2025082702551732000_18.4.e264309.9","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1007\/s13691-019-00369-3","article-title":"Primary tumor of the ureteral stump after a radical nephrectomy for renal cell carcinoma: case report and literature review","volume":"8","author":"Masago","year":"2019","journal-title":"Int Cancer Conf J"},{"key":"2025082702551732000_18.4.e264309.10","article-title":"Metastasis of renal cell carcinoma to the distal ureteral stump beyond recommended baseline surveillance duration","volume":"32","author":"Oserowsky","year":"2020","journal-title":"Urol Case Rep"},{"key":"2025082702551732000_18.4.e264309.11","article-title":"An Unusual and Rare Metachronous Ipsilateral Ureteric Stump Metastasis Post Radical Nephrectomy","volume":"13","author":"Chalokia","year":"2021","journal-title":"Cureus"},{"key":"2025082702551732000_18.4.e264309.12","doi-asserted-by":"crossref","first-page":"687","DOI":"10.5489\/cuaj.3050","article-title":"Chromophobe renal cell carcinoma recurrence in the ureter: A late presentation of a rare metastasis","volume":"9","author":"Macleod","year":"2015","journal-title":"CUAJ"},{"key":"2025082702551732000_18.4.e264309.13","doi-asserted-by":"crossref","unstructured":"Cheng K-C , Cho C-L , Chau L , et al . Solitary Metachronous Metastasis of Renal Cell Carcinoma to the Ureter. 2013;1\u20137. doi:10.5171\/2013.854413","DOI":"10.5171\/2013.854413"},{"key":"2025082702551732000_18.4.e264309.14","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.urology.2023.12.006","article-title":"Genomic Evolution of Oligometastatic Clear Cell Renal Cell Carcinoma Presenting Two Decades Following Radical Nephrectomy","volume":"184","author":"Wang","year":"2024","journal-title":"Urology"},{"key":"2025082702551732000_18.4.e264309.15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1992.tb15522.x"},{"key":"2025082702551732000_18.4.e264309.16","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1965.01320080016004"},{"key":"2025082702551732000_18.4.e264309.17","doi-asserted-by":"crossref","DOI":"10.3390\/cancers15245873","article-title":"The Diagnosis and Treatment Approach for Oligo-Recurrent and Oligo-Progressive Renal Cell Carcinoma","volume":"15","author":"Bekku","year":"2023","journal-title":"Cancers (Basel)"},{"key":"2025082702551732000_18.4.e264309.18","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/S1470-2045(16)30196-6","article-title":"Active surveillance in metastatic renal-cell carcinoma: a prospective, phase 2 trial","volume":"17","author":"Rini","year":"2016","journal-title":"Lancet Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:55:45Z","timestamp":1756288545000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":18,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,22]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2024-264309"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264309","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}