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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Main Authors: Anil Kurian, Jason Lee, Abraham Born
Format: Article
Language:English
Published: Wiley 2011-01-01
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.
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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
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AT abrahamborn urothelialbladdercancerwithcavitarylungmetastases