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Incidental finding of a small cell neuroendocrine carcinoma of the ureter
  1. Obinna Obi-Njoku1,2,
  2. Chris Bell1,
  3. Prashant Ravindran Menon1 and
  4. Iqbal Shergill1
  1. 1 Urology, Wrexham Maelor Hospital, Wrexham, UK
  2. 2 Urology, Whittington Hospital, London, UK
  1. Correspondence to Mr Obinna Obi-Njoku, dprinceob1{at}


The ureter is an extremely rare site for small cell neuroendocrine carcinoma. We present a case of this disease in a patient who presented without urological symptoms. The multidisciplinary team proposed nephroureterectomy (if fit) or watchful waiting as management. After discussion with the patient a decision in favour of watchful waiting was made. We report her case including a review of the literature, and emphasise that although small cell neuroendocrine carcinomas can be very aggressive, they can remain asymptomatic.

  • urology
  • ultrasonography
  • surgical oncology
  • urological cancer
  • radiology

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  • Contributors OO-N and CB: literature search, drafting, editing and approval of manuscript. PRM: drafting, editing and approval of manuscript. IS: editing and approval of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Next of kin consent obtained.

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