Unusual presentation of cutaneous metastasis from bladder urothelial carcinoma

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 r...

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Published inChinese journal of cancer research Vol. 25; no. 3; pp. 362 - 365
Main Authors Chang, 1st, Chin-Pao, Lee, Yen, Shih, Hung-Jen
Format Journal Article
LanguageEnglish
Published China Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua 500, Taiwan, China 01.06.2013
AME Publishing Company
Subjects
Case Report
上皮
尿
溃疡性
癌
皮肤
磁共振
组织病理学
膀胱肿瘤
Bladder
skin
metastasis
lymphedema
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Summary: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.
Bibliography:11-2591/R
Bladder; skin; metastasis; lymphedema
Chin-Pao Chang, I-Yen Lee, Hung-Jen Shih Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua 500, Taiwan, China
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.
ISSN:1000-9604
1993-0631
DOI:10.3978/j.issn.1000-9604.2013.06.08