Multiple cutaneous metastasis of synchronous urothelial carcinoma of the bladder and the renal pelvis: a case report

M Ghalleb,S Slim,K Rahal,I Zemni,J Ben Hassouna,M A Ayadi,R Doghri

doi:10.1186/s13256-019-1997-8

M Ghalleb, S Slim + Show 5 more

Open Access

https://doi.org/10.1186/s13256-019-1997-8

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Abstract

IntroductionCutaneous metastatic disease arising from urinary tract carcinoma is rare and associated with a poor prognosis. We report a case of metastatic disease occurring in a patient treated for synchronous urothelial tumor of the bladder and left renal pelvis.Case presentationA 61-year-old Caucasian man was treated for a synchronous urothelial tumor of the bladder and left renal pelvis. He had an en bloc radical cystectomy and left ureteronehprectomy associated with a cutaneous transileal urinary diversion and lymph node dissection. He was scheduled for chemotherapy but was lost to follow-up. He consulted 1 year later with growing skin tumors that were confirmed to be metastatic disease, and he was referred to the oncology department for palliative chemotherapy.ConclusionCutaneous metastatic disease is a rare entity with poor prognosis. The main treatment remains chemotherapy; however, single-site metastasis should be considered for metastasectomy.

Highlights

IntroductionCutaneous metastatic disease (CMD) arising from primary visceral carcinoma is rare, occurring with an overall incidence of 0.3% to 5.3% [1, 2]
Cutaneous metastatic disease arising from urinary tract carcinoma is rare and associated with a poor prognosis
We report a case of multiple-site skin metastasis in a patient followed for synchronous urothelial carcinoma of the bladder and the left renal pelvis

Summary

Introduction

Cutaneous metastatic disease (CMD) arising from primary visceral carcinoma is rare, occurring with an overall incidence of 0.3% to 5.3% [1, 2]. We report a case of multiple-site skin metastasis in a patient followed for synchronous urothelial carcinoma of the bladder and the left renal pelvis. Case presentation A 61-year-old Caucasian man with no past medical history presented to another teaching hospital with a 2-week history of hematuria He had a transurethral resection of a 3-cm papillary bladder tumor located near the left ureter meatus. The patient was referred to our outpatient clinic after 2 months The final histologic examination showed a synchronous high-grade urothelial carcinoma of the bladder (pT3) and the left renal pelvis (pT3) with free margin. He consulted our outpatient clinic after 1 year for cutaneous masses located in the left hypochondriac (1), the back (2), and the cervical region (1)

Discussion

Conclusion