Alvarez Castelo L M, García Freire C, Rodríguez-Rivera García J, Lancina Martín J A, González Martín M
Servicio de Urología, Hospital Juan Canalejo, La Coruña, España.
Arch Esp Urol. 1995 Sep;48(7):749-50.
An additional case of cutaneous metastasis arising from transitional cell carcinoma of the bladder is described. Its form of presentation, dissemination pattern, pathological features, clinical course and treatment are briefly discussed.
This article reports on a 62-year-old male with bladder carcinoma stage PT3B, PN0, PMx, who underwent radical cystoprostatectomy and detubularized ileal neobladder four months earlier.
A solid tumor with an ulcerated surface was found on the dorsal side of the left shoulder. Microscopic analysis disclosed neoplastic cells resembling transitional cells in dermis, the first manifestation of distant tumoral spread. Patient survival was only two months.
Transitional cell carcinoma of bladder metastasizing to the skin is an uncommon finding despite the high incidence of this tumor, although more cases are being reported. Skin metastasis generally presents in the late stages of this disease and indicates a poor outcome.
本文描述了一例膀胱移行细胞癌皮肤转移的病例。简要讨论了其表现形式、扩散模式、病理特征、临床病程及治疗方法。
本文报道了一名62岁男性，患有PT3B期、PN0、PMx期膀胱癌，四个月前接受了根治性膀胱前列腺切除术及去管化回肠新膀胱术。
在左肩背侧发现一个表面溃疡的实性肿瘤。显微镜分析显示真皮中有类似移行细胞的肿瘤细胞，这是远处肿瘤扩散的首个表现。患者生存期仅两个月。
尽管膀胱癌发病率较高，但膀胱移行细胞癌转移至皮肤并不常见，不过报告的病例越来越多。皮肤转移通常出现在该疾病的晚期，提示预后不良。
