Long-term Survival From Muscleinvasive Bladder Cancer With Initial Presentation of Symptomatic Cerebellar Lesion: The Role of Selective Surgical Extirpation of the Primary and Metastatic Lesion

Reviews in Urology

Hemant Chaparala¹  Joseph Sanfrancesco²  Esther Udoji⁴  J. Stephen Jones³  Ganesh K Kartha³  Donna Hansel² 

[1] Case Western Reserve University School of Medicine,, Cleveland, OH;Department of Pathology, Cleveland Clinic Foundation,, Cleveland, OH;Glickman Urological & Kidney Institute, Cleveland Clinic Foundation,, Cleveland, OH;Imaging Institute, Cleveland Clinic Foundation,, Cleveland, OH

关键词: Bladder cancer;    Cystectomy;    Metastasis;    Urothelial carcinoma;   

DOI  :  10.3909/riu0643

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

A 59-year-old man was diagnosed with urothelial carcinoma involving an isolated cerebellar metastasis after presenting to the emergency department for headache complaints. After selective surgical excision of the symptomatic brain lesion and delayed cystectomy due to intractable hematuria, he survived 11 years without evidence of recurrence or subsequent systemic chemotherapy. He eventually expired after delayed recurrence in the lung, supraclavicular lymph node, and brain. To our knowledge, this is the only case of prolonged survival from urothelial carcinoma after selective surgical extirpation of the primary and metastatic lesion without subsequent systemic chemotherapy.

【 授权许可】

Unknown