Primary transitional cell carcinoma in the ureteral stump without a history of proximal urothelial malignancy is very rare. A 62-Year-Old woman visited our hospital because of persistent microscopic hematuria. She had undergone left nephrectomy for renal tuberculosis 6 years ago. The ureteroscopy disclosed a papillary tumor in the ureteral stump. Wide excision of the ureteral stump with bladder cuff was done. The pathological study revealed high grade papillary transitional cell carcinoma invading the regional lymph node. The patient was discharged planning chemotherapy.