Abstract
IntroductionSecondary bladder neoplasms are uncommon and they represent only 2% of all malignant bladder tumors.Case presentationThe authors present a case of a 59-year-old Caucasian man with a primary gastric adenocarcinoma that had been surgically removed 10 years before he developed bladder metastasis. He presented with low abdominal pain after 10 years without any symptoms. Cystoscopy and an abdominal computed tomography scan showed a bladder tumor. A transurethral resection of the bladder tumor was performed. A histological examination revealed an adenocarcinoma, which turned out to be a metastasis of the primary gastric tumor. One year later, abdominal surgery revealed peritoneal metastases.ConclusionThis is the first known case in Europe where bladder metastasis occurred 10 years after surgical removal of a primary gastric neoplasm. There are only four cases in the literature where metastases of the peritoneum developed 11 years after surgical removal of a primary gastric tumor.
Highlights
Secondary bladder neoplasms are uncommon and they represent only 2% of all malignant bladder tumors.Case presentation: The authors present a case of a 59-year-old Caucasian man with a primary gastric adenocarcinoma that had been surgically removed 10 years before he developed bladder metastasis
We report a single case in a man with late urinary bladder metastasis 10 years after the surgical removal of the primary gastric adenocarcinoma
In a case of bladder adenocarcinoma, one should always think of the possibility of metastasis, even years after surgical removal of a primary neoplasm
Summary
The authors presented a rare case where, 10 years after the surgical removal of a primary gastric neoplasm, first a bladder and a year later peritoneal metastases occurred. In a case of bladder adenocarcinoma, one should always think of the possibility of metastasis, even years after surgical removal of a primary neoplasm. As a solitary bladder metastasis of gastric cancer is rare, one should always search for peritoneal involvement as well. Author details 1Institute of Oncology, Medical and Health Science Center, University of Debrecen, Nagyerdei krt. Doi:10.1186/1752-1947-7-204 Cite this article as: András et al.: Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature.
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