Cutaneous metastasis of transitional cell carcinoma of the urinary bladder eight years after the primary: a case report

Journal of Medical Case Reports

Andrea Nicole Lees¹ 

[1]Royal Hobart Hospital, 48 Liverpool Street, Hobart 7000, Tasmania, Australia

关键词: Carcinoma;    Cancer;    Urothelial;    Bladder;    Transitional cell;    Metastases;    Cutaneous;   

Others  :  1204615
DOI  :  10.1186/s13256-015-0585-9

 received in 2014-11-28, accepted in 2015-04-02,  发布年份 2015

【 摘 要 】

Introduction

Cutaneous metastasis of bladder carcinoma is extremely rare with a limited number of published cases. An awareness of this rare clinical entity and high index of suspicion is needed for diagnosis, as it can occur months or rarely as in this case, even years, after the primary cancer.

Case presentation

An 81-year-old Caucasian man presented with a one-year history of increasing left leg swelling and a two-month history of a macular-nodular rash on the anterior thigh, on a background of a high-grade (WHO Grade 2 of 3) papillary and invasive transitional cell carcinoma of the bladder in 2006. Following investigations, he was diagnosed as having probable locoregional recurrence of previously resected urothelial cancer of the bladder with extensive retrograde lymphatic permeation into the left thigh with cutaneous eruptions of malignancy. He completed a planned course of palliative radiation therapy to the left thigh lesions (30Gy divided over 10 fractions) as well as the left pelvic node (a total dose of 18Gy divided over six fractions). The disease ran an aggressive course and our patient died six months after the diagnosis of cutaneous metastases.

Conclusions

Metastatic disease should always be considered in the differential diagnosis in patients with a previous history of bladder cancer who present with cutaneous nodules, even many years after the initial diagnosis at the primary site.

【 授权许可】

   
2015 Lees; licensee BioMed Central.

【 图 表 】

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