Vigliar Elena, Marino Gilda, Matano Elide, Imbimbo Ciro, Rossella De Cecio, Insabato Luigi
University Federico II of Naples, Naples, Italy.
Int J Surg Pathol. 2013 Feb;21(1):72-5. doi: 10.1177/1066896912445922. Epub 2012 Jun 12.
Bladder involvement by a secondary tumor is fairly rare and an uncommon source of bladder metastasis is the stomach.
The authors report a case of a 38-year-old man with a bladder metastasis from a gastric signet-ring-cell (SRC) adenocarcinoma who presented with ematuria. The clinical history and the presence of SRCs in the voided urinary cytology and histologically in the suburothelial connective, with an overlying intact urothelium suggested a diagnosis of bladder metastasis from gastric carcinoma.
Bladder involvement by a secondary tumor is very rare, and a SRC carcinoma metastatic to the bladder, albeit extremely rare, should be considered in the differential diagnosis.
继发性肿瘤累及膀胱相当罕见,胃是膀胱转移瘤的罕见来源。
作者报告一例38岁男性,因胃印戒细胞(SRC)腺癌发生膀胱转移,表现为血尿。临床病史以及尿脱落细胞学检查和组织学检查显示,在膀胱黏膜下层结缔组织中有SRC,而上覆的膀胱黏膜完整,提示为胃癌膀胱转移。
继发性肿瘤累及膀胱非常罕见,在鉴别诊断时应考虑到SRC癌转移至膀胱的情况,尽管极为罕见。