Urothelial Bladder Cancer with Cavitary Lung Metastases
Transitional cell carcinoma (TCC) of the bladder tends to remain superficial; however, in 5% to 20% of cases, it progresses to muscle invasion and, more rarely, can metastasize. TCC of the bladder primarily spreads via regional lymphatics. The most common sites of distant metastases of TCC are the l...
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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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Series: | Canadian Respiratory Journal |
Online Access: | http://dx.doi.org/10.1155/2011/273241 |
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author | Anil Kurian Jason Lee Abraham Born |
author_facet | Anil Kurian Jason Lee Abraham Born |
author_sort | Anil Kurian |
collection | DOAJ |
description | Transitional cell carcinoma (TCC) of the bladder tends to remain superficial; however, in 5% to 20% of cases, it progresses to muscle invasion and, more rarely, can metastasize. TCC of the bladder primarily spreads via regional lymphatics. The most common sites of distant metastases of TCC are the liver, lung, mediastinum and bone. Long-term survival of patients with metastatic bladder cancer is rare. Patterns of pulmonary metastasis include multiple nodules, a solitary mass or interstitial micronodule. When multiple nodules are present, they are round and well-circumscribed, without calcification or cavitation. An unusual case of rapidly metastatic TCC to the lung causing large cavitary masses and nodules is presented. Imaging performed after the patient began chemotherapy revealed widespread necrosis of the metastatic cavitary masses causing moderate volume hemoptysis. |
format | Article |
id | doaj-art-f8e5dc3016a641479b0ed8a073cf5f19 |
institution | Kabale University |
issn | 1198-2241 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Respiratory Journal |
spelling | doaj-art-f8e5dc3016a641479b0ed8a073cf5f192025-02-03T00:59:00ZengWileyCanadian Respiratory Journal1198-22412011-01-01183e46e4710.1155/2011/273241Urothelial Bladder Cancer with Cavitary Lung MetastasesAnil Kurian0Jason Lee1Abraham Born2Department of Medicine, McMaster University, Hamilton, CanadaDepartment of Medicine, Division of Clinical Immunology and Allergy, St Michael’s Hospital, CanadaDepartment of Medicine, North York General Hospital, University of Toronto, Toronto, Ontario, CanadaTransitional cell carcinoma (TCC) of the bladder tends to remain superficial; however, in 5% to 20% of cases, it progresses to muscle invasion and, more rarely, can metastasize. TCC of the bladder primarily spreads via regional lymphatics. The most common sites of distant metastases of TCC are the liver, lung, mediastinum and bone. Long-term survival of patients with metastatic bladder cancer is rare. Patterns of pulmonary metastasis include multiple nodules, a solitary mass or interstitial micronodule. When multiple nodules are present, they are round and well-circumscribed, without calcification or cavitation. An unusual case of rapidly metastatic TCC to the lung causing large cavitary masses and nodules is presented. Imaging performed after the patient began chemotherapy revealed widespread necrosis of the metastatic cavitary masses causing moderate volume hemoptysis.http://dx.doi.org/10.1155/2011/273241 |
spellingShingle | Anil Kurian Jason Lee Abraham Born Urothelial Bladder Cancer with Cavitary Lung Metastases Canadian Respiratory Journal |
title | Urothelial Bladder Cancer with Cavitary Lung Metastases |
title_full | Urothelial Bladder Cancer with Cavitary Lung Metastases |
title_fullStr | Urothelial Bladder Cancer with Cavitary Lung Metastases |
title_full_unstemmed | Urothelial Bladder Cancer with Cavitary Lung Metastases |
title_short | Urothelial Bladder Cancer with Cavitary Lung Metastases |
title_sort | urothelial bladder cancer with cavitary lung metastases |
url | http://dx.doi.org/10.1155/2011/273241 |
work_keys_str_mv | AT anilkurian urothelialbladdercancerwithcavitarylungmetastases AT jasonlee urothelialbladdercancerwithcavitarylungmetastases AT abrahamborn urothelialbladdercancerwithcavitarylungmetastases |