A case of ureteric metastasis of pancreatic carcinoma is discussed. Metastatic disease of the ureter is very rare and only 9 other cases of pancreatic carcinoma metastasizing to the ureter have been published. A lack of continuous longitudinal blood and lymphatic vasculature is a possible explanation for the low incidence. Diagnosis of ureteric metastasis can be difficult and a combination of radiographic imaging and histologic evaluation is often required. Treatment of ureteric metastasis depends on the primary tumor. Metastasectomy can be considered in a select number of patients. When urinary obstruction is caused by the ureteric mass, urine drainage can be considered.
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