Bhakta Priya S, Harris Emily A, Connolly Mark M
AMITA Health Saint Joseph Hospital, Chicago, IL, USA.
Urol Case Rep. 2020 Apr 8;31:101157. doi: 10.1016/j.eucr.2020.101157. eCollection 2020 Jul.
This case report documents the rare occurrence of axillary metastasis in a patient with a history of typical urothelial bladder cancer. Bladder cancer rarely metastasizes to supradiaphragmatic cutaneous tissues, and this presentation confers a poorer prognosis as well as an association with atypical variants of bladder cancer. However, this paper suggests that typical pure urothelial bladder cancer may be just as aggressive as its atypical counterpart. In addition, the work-up of axillary masses in a patient with a history of bladder cancer, whether typical or variant, should include metastatic disease as part of the differential diagnosis and guide treatment strategies.
本病例报告记录了一名有典型尿路上皮膀胱癌病史的患者罕见的腋窝转移情况。膀胱癌很少转移至膈上皮肤组织，这种表现预示着预后较差，且与膀胱癌的非典型变体有关。然而，本文表明典型的纯尿路上皮膀胱癌可能与其非典型对应物一样具有侵袭性。此外，对有膀胱癌病史的患者，无论其为典型还是变体，腋窝肿块的检查应将转移性疾病纳入鉴别诊断，并指导治疗策略。
