Dirican Ahmet, Küçükzeybek Yüksel, Somalι Ișιl, Erten Ciğdem, Demir Lütfιye, Can Alper, Bayoğlu Ibrahim Vedat, Ermete Murat, Altιnboğa Ayșegül Aksoy, Tarhan Mustafa Oktay
Medical Oncology Clinic, Izmir Atatürk Training and Research Hospital, Izmir, Turkey.
Contemp Oncol (Pozn). 2012;16(5):451-2. doi: 10.5114/wo.2012.31779. Epub 2012 Nov 20.
Cutaneous metastases of bladder carcinoma are very rare. The rate of cutaneous metastasis in urologic malignancies is 1.3% and this rate was found to be 0.84% for bladder carcinomas. Cutaneous metastasis of bladder carcinoma can be confused with cellulitis. This case report presents a 60-year-old patient operated on for bladder carcinoma and undergoing treatment for cellulitis because of erythematous lesions appearing in the suprapubic region in the early postoperative period. As there was no response to antibiotic treatment, skin biopsy was performed and cutaneous metastasis was diagnosed. Subsequently, chemotherapy with carboplatin and gemcitabine was started. The prognosis of bladder carcinoma with cutaneous metastasis has been reported to be poor.
膀胱癌的皮肤转移非常罕见。泌尿系统恶性肿瘤的皮肤转移率为1.3%,而膀胱癌的这一比率为0.84%。膀胱癌的皮肤转移可能会与蜂窝织炎相混淆。本病例报告介绍了一名60岁的患者,该患者因膀胱癌接受手术,术后早期耻骨上区域出现红斑性病变,因蜂窝织炎接受治疗。由于抗生素治疗无效,进行了皮肤活检,诊断为皮肤转移。随后,开始使用卡铂和吉西他滨进行化疗。据报道,伴有皮肤转移的膀胱癌预后较差。