Solitary recurrence of renal cell carcinoma in the ureter nearly two decades after radical nephrectomy.

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 year 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.