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Britt D, Kim J, Tang J, Langley C, Shayegan B. Images in urology - Metastatic urothelial carcinoma of the right vastus lateralis following robotic-assisted radical cystectomy. Can Urol Assoc J 2024; 18:E37-E39. [PMID: 37812790 PMCID: PMC10766339 DOI: 10.5489/cuaj.8431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/11/2023]
Affiliation(s)
- Deron Britt
- Department of Urology, McMaster University, Hamilton, ON , Canada
| | - John Kim
- Department of Urology, McMaster University, Hamilton, ON , Canada
| | - Jennifer Tang
- Department of Urology, McMaster University, Hamilton, ON , Canada
| | - Chris Langley
- Department of Urology, McMaster University, Hamilton, ON , Canada
| | - Bobby Shayegan
- Department of Urology, McMaster University, Hamilton, ON , Canada
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Izzo P, Izzo L, Lai S, D’Onghia G, Giancontieri P, Gabriele R, Polistena A, Sibio S, Costanzo ML, De Intinis C, Izzo S. Nodular cutaneous metastasis of the leg in advanced urothelial bladder carcinoma: a case report and systematic literature review. Front Oncol 2023; 13:1216725. [PMID: 37675233 PMCID: PMC10477776 DOI: 10.3389/fonc.2023.1216725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 08/02/2023] [Indexed: 09/08/2023] Open
Abstract
Cutaneous metastases from urothelial carcinoma (UC) are very rare and indicate advanced disease with a poor prognosis. A 63-year-old female patient with a history of urothelial bladder carcinoma, treated 2 months prior with radical cystectomy and adjuvant gemcitabine and cisplatin (GC) therapy, presented a skin lesion localized in the lower third of the right leg. Punch biopsy revealed carcinomatous metastasis whose urothelial origin was confirmed by immunohistochemical analysis. 18-FDG PET-CT showed the spread of metastases to the lung and left ischium. Our review focuses on the time between surgery and skin metastasis, localization, and prognosis after metastasis diagnosis. In many cases, skin metastases occur within one year of initial UC surgery and in most cases occur on the abdominal wall. Local wide excision of metastasis should be considered in selected cases; however, chemotherapy remains the main treatment.
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Affiliation(s)
- Paolo Izzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Luciano Izzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Silvia Lai
- Department of Translational and Precision Medicine, Nephrology Unit, Sapienza University of Rome, Rome, Italy
| | - Giuliano D’Onghia
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Paola Giancontieri
- Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Raimondo Gabriele
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Andrea Polistena
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Simone Sibio
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Maria Ludovica Costanzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Claudia De Intinis
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Sara Izzo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, Naples, Italy
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