Late urinary bladder metastasis from breast cancer

Arch Ital Urol Androl. 2019 Mar 29;91(1):60-62. doi: 10.4081/aiua.2019.1.60.

Abstract

Introduction: Breast cancer (BrC) is the most common non-dermatologic cancer in women. It frequently metastasizes to lung, liver and bone, while the urinary bladder is considered as an unusual site for BrC metastases.

Materials and methods: Four years after her first oncologic surgical approach, a known BrC patient complained of a left flank pain, dysuria and urgency. Computed tomography (CT scan) imaging showed an irregular thickening of the left bladder wall and bilateral hydronephrosis.

Results: A bladder metastases from BrC was diagnosed based on a histological examination of a transurethral resection of the bladder (TURB-T) specimen.

Conclusions: In patients with a history of BrC, urinary bladder screening is not needful. However, if low urinary symptoms persist, an evaluation of the bladder should be considered to rule out metastatic involvement.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Dysuria / etiology
  • Female
  • Flank Pain / etiology
  • Humans
  • Hydronephrosis / etiology*
  • Middle Aged
  • Time Factors
  • Tomography, X-Ray Computed
  • Urinary Bladder Neoplasms / diagnosis*
  • Urinary Bladder Neoplasms / secondary
  • Urinary Bladder Neoplasms / surgery