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Unusual presentation of cutaneous metastasis from bladder urothelial carcinoma

Identifieur interne : 002027 ( Pmc/Corpus ); précédent : 002026; suivant : 002028

Unusual presentation of cutaneous metastasis from bladder urothelial carcinoma

Auteurs : Chin-Pao Chang ; Yen Lee ; Hung-Jen Shih

Source :

RBID : PMC:3696701

Abstract

Cutaneous metastases from urothelial carcinoma of the bladder are a rare disease. In previous reports, the most common metastatic cutaneous lesions were non-tender nodules on the abdominal skin. We report a patient with bladder urothelial carcinoma with cutaneous metastases initially presenting as right leg and suprapubic lymphedema. Bladder tumor was the incidental finding by magnetic resonance venography. Urothelial carcinoma (clinical stage IV) was diagnosed, and chemotherapy was performed. Extensive painful erythematous plaques with an erysipelas-like appearance located on the suprapubic area, chest and abdomen were noted, and cutaneous metastases were confirmed by histopathology. Subsequently, extensive scrotal and prepuce ulcerative changes developed. This paper reports a rare case of extensive cutaneous metastasis of bladder urothelial carcinoma who presented an interesting clinical course.


Url:
DOI: 10.3978/j.issn.1000-9604.2013.06.08
PubMed: 23825915
PubMed Central: 3696701

Links to Exploration step

PMC:3696701

Le document en format XML

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<name sortKey="Lee, Yen" sort="Lee, Yen" uniqKey="Lee Y" first="Yen" last="Lee">Yen Lee</name>
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<name sortKey="Shih, Hung Jen" sort="Shih, Hung Jen" uniqKey="Shih H" first="Hung-Jen" last="Shih">Hung-Jen Shih</name>
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<p>Cutaneous metastases from urothelial carcinoma of the bladder are a rare disease. In previous reports, the most common metastatic cutaneous lesions were non-tender nodules on the abdominal skin. We report a patient with bladder urothelial carcinoma with cutaneous metastases initially presenting as right leg and suprapubic lymphedema. Bladder tumor was the incidental finding by magnetic resonance venography. Urothelial carcinoma (clinical stage IV) was diagnosed, and chemotherapy was performed. Extensive painful erythematous plaques with an erysipelas-like appearance located on the suprapubic area, chest and abdomen were noted, and cutaneous metastases were confirmed by histopathology. Subsequently, extensive scrotal and prepuce ulcerative changes developed. This paper reports a rare case of extensive cutaneous metastasis of bladder urothelial carcinoma who presented an interesting clinical course.</p>
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<aff id="aff1">Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua 500, Taiwan, China</aff>
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<italic>Corresponding to:</italic>
Hung-Jen Shih, MD. Department of Surgery, Division of Urology, Changhua Christian Hospital, 135, Nanxiao St., Changhua City, Changhua County 500, Taiwan, China. Email:
<email xlink:href="jasta1206@gmail.com">jasta1206@gmail.com</email>
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<volume>25</volume>
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<date date-type="received">
<day>23</day>
<month>11</month>
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<copyright-statement>2013 Chinese Journal of Cancer Research. All rights reserved.</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder>Chinese Journal of Cancer Research.</copyright-holder>
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<abstract>
<p>Cutaneous metastases from urothelial carcinoma of the bladder are a rare disease. In previous reports, the most common metastatic cutaneous lesions were non-tender nodules on the abdominal skin. We report a patient with bladder urothelial carcinoma with cutaneous metastases initially presenting as right leg and suprapubic lymphedema. Bladder tumor was the incidental finding by magnetic resonance venography. Urothelial carcinoma (clinical stage IV) was diagnosed, and chemotherapy was performed. Extensive painful erythematous plaques with an erysipelas-like appearance located on the suprapubic area, chest and abdomen were noted, and cutaneous metastases were confirmed by histopathology. Subsequently, extensive scrotal and prepuce ulcerative changes developed. This paper reports a rare case of extensive cutaneous metastasis of bladder urothelial carcinoma who presented an interesting clinical course.</p>
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<title>Key Words: </title>
<kwd>Bladder</kwd>
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<kwd>metastasis</kwd>
<kwd>lymphedema</kwd>
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