Metastatic bladder transitional cell carcinoma presenting as a vascularised cutaneous right arm lesion

A 65-year-old man presented to the emergency department with a 3-week history of a fast-growing and painful mass in his right antecubital fossa. He felt otherwise well. Four months earlier, he had undergone a radical cystectomy for transitional-cell carcinoma (TCC) of the bladder (grade 3, stage pT1...

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Bibliographic Details
Published in:International journal of clinical oncology 2012-06, Vol.17 (3), p.286-289
Main Authors: Weston, Philip S. J., Lim, Chung S., Shalhoub, Joseph, Davies, Alun H.
Format: Article
Language:English
Subjects:
Aged
Aneurysm, False - diagnosis
Arm
Cancer Research
Carcinoma, Transitional Cell - diagnosis
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - secondary
Case Report
Diagnosis, Differential
Humans
Male
Medicine
Medicine & Public Health
Oncology
Skin - diagnostic imaging
Skin - pathology
Skin Neoplasms - diagnosis
Skin Neoplasms - secondary
Surgical Oncology
Ultrasonography
Urinary Bladder Neoplasms - pathology
Citations: Items that this one cites
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Description
Summary:A 65-year-old man presented to the emergency department with a 3-week history of a fast-growing and painful mass in his right antecubital fossa. He felt otherwise well. Four months earlier, he had undergone a radical cystectomy for transitional-cell carcinoma (TCC) of the bladder (grade 3, stage pT1). Two months after the cystectomy, at another hospital, he was diagnosed with, and treated for, a pseudoaneurysm in his right antecubital fossa. Duplex ultrasonography of the presenting lesion revealed a highly vascularised mass with no pseudoaneurysm. Histological and immunohistochemical analysis preceded a diagnosis of cutaneous metastatic TCC. Whole-body CT revealed widespread metastases. This is the first reported case of a highly vascularised cutaneous lesion being the presenting feature of metastatic bladder TCC.
ISSN:1341-9625
1437-7772
DOI:10.1007/s10147-011-0282-7