Manzelli Antonio, Quaresima Silvia, Rossi Piero, Petrou Athanasios, Ricciardi Edoardo, Brennan Nicholas, Kontos Michael, Petrella Giuseppe
Dipartimento di Chirurgia, Cattedra di Chirurgia Generale Università Tor Vergata, Direttore Prof, Giuseppe Petrella, Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma, Italia.
J Med Case Rep. 2011 Sep 28;5:484. doi: 10.1186/1752-1947-5-484.
Cutaneous metastases from carcinomas of the bladder are very rare. They are related to advanced stages of the disease and have poor prognosis with low survival rates. The common treatment modality of cutaneous metastases from a primary bladder cancer is wide local excision followed by chemotherapy.
We report a case of solitary skin metastasis from a rare type of urinary bladder carcinoma in a 68 year-old Caucasian man. Urinary bladder carcinoma metastasizing to the skin is an uncommon finding despite the high incidence of this tumor. Skin metastasis generally presents in the late stages of this disease and indicates a poor outcome.
Because of the extremely aggressive malignant potential of sarcomatoid carcinomas, the indications for a transurethral resection of the bladder should be carefully assessed and suitable therapeutic strategies should be examined further.
膀胱癌的皮肤转移非常罕见。它们与疾病的晚期阶段相关,预后较差,生存率低。原发性膀胱癌皮肤转移的常见治疗方式是广泛局部切除,随后进行化疗。
我们报告一例68岁白种男性罕见类型膀胱癌的孤立性皮肤转移病例。尽管这种肿瘤发病率高,但膀胱癌转移至皮肤并不常见。皮肤转移通常出现在该疾病的晚期,提示预后不良。
由于肉瘤样癌具有极强的侵袭性恶性潜能,应仔细评估经尿道膀胱切除术的适应证,并进一步研究合适的治疗策略。