Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?

Introduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carci...

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Bibliographic Details
Published in:Case reports in oncological medicine 2016-01, Vol.2016 (2016), p.1-6
Main Authors: Li, Li, Indrisek, Jacqueline, Watson, Scott, Dang, Nam H., Zlotecki, Robert A., Crispen, Paul, Allan, Robert W., Abbitt, Patricia, Dang, Long, Hasija, Nalini, Pathak, Prajwol, Townsend, Tabitha N., Taylor, Zachary A., Nguyen, Thu-Cuc, Akhavan, Neeka N., Skelton IV, William Paul, Ali, Azka, Nixon, Isis
Format: Article
Language:English
Subjects:
Bladder cancer
Care and treatment
Case Report
Case studies
Diagnosis
Lymphomas
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Summary:Introduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carcinoma of the bladder to regional pelvic and retroperitoneal lymph nodes. He underwent systemic chemotherapy for treatment of urothelial carcinoma and was discovered on restaging to have findings suggestive of disease progression but ultimately was found to have a concurrent secondary malignancy. Conclusion. Our case suggests that in patients with urothelial carcinoma, the concurrent presentation of regional lymphadenopathy may not be metastatic urothelial carcinoma and may warrant further investigation.
ISSN:2090-6706
2090-6714
DOI:10.1155/2016/8125898