TY - JOUR
T1 - Bladder carcinoma metastases presenting as intraperitoneal dissemination without local recurrence
T2 - A case report
AU - Ide, Hiroki
AU - Nakajima, Yosuke
AU - Horinaga, Minoru
AU - Shinojima, Toshiaki
AU - Ozu, Choichiro
AU - Hatakeyama, Naoki
AU - Kiguchi, Hideko
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2004/11
Y1 - 2004/11
N2 - A 76-year-old woman presented with gross hematuria and was referred to our OPD. Cystoscopy showed broad-based papillary tumors on the left bladder wall. TUR-BT was performed and pathological diagnosis was grade 3 transitional cell carcinoma of pT1a. Although no intravesical tumor recurrence had been observed, a solid palpable mass was noted in the lower abdomen nine months after TUR-BT, and computed tomography suggested a large ovarian tumor. Subsequently performed was the operation at Gynecology, which revealed a large tumor involving the whole major omentum. Frozen sections of the tumor were diagnosed as transitional cell carcinoma metastases of the bladder cancer, and the final pathological report was the same. Although receiving 4 courses of M-VAC systemic chemotherapy after the operation, she died 14 months later. Autopsy disclosed intraperitoneal cancer dissemination and metastases without any intravesical nor left perivesical tumor recurrence, and it was suggested that the bladder tumor metastases occurred not by direct invasion but by either lymphatic or vascular mechanism in this case.
AB - A 76-year-old woman presented with gross hematuria and was referred to our OPD. Cystoscopy showed broad-based papillary tumors on the left bladder wall. TUR-BT was performed and pathological diagnosis was grade 3 transitional cell carcinoma of pT1a. Although no intravesical tumor recurrence had been observed, a solid palpable mass was noted in the lower abdomen nine months after TUR-BT, and computed tomography suggested a large ovarian tumor. Subsequently performed was the operation at Gynecology, which revealed a large tumor involving the whole major omentum. Frozen sections of the tumor were diagnosed as transitional cell carcinoma metastases of the bladder cancer, and the final pathological report was the same. Although receiving 4 courses of M-VAC systemic chemotherapy after the operation, she died 14 months later. Autopsy disclosed intraperitoneal cancer dissemination and metastases without any intravesical nor left perivesical tumor recurrence, and it was suggested that the bladder tumor metastases occurred not by direct invasion but by either lymphatic or vascular mechanism in this case.
KW - Bladder carcinoma
KW - Intraperitoneal dissemination
UR - http://www.scopus.com/inward/record.url?scp=10044292277&partnerID=8YFLogxK
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U2 - 10.5980/jpnjurol1989.95.813
DO - 10.5980/jpnjurol1989.95.813
M3 - Article
C2 - 15624492
AN - SCOPUS:10044292277
VL - 95
SP - 813
EP - 816
JO - Japanese Journal of Urology
JF - Japanese Journal of Urology
SN - 0021-5287
IS - 7
ER -