Curative surgery for solitary adrenal metastasis of pT1 G3 transitional cell carcinoma of the bladder

A preoperative computed tomography scan in a patient undergoing radical cystectomy for pT1N0 grade 3 transitional cell carcinoma revealed a tumor in the adrenal gland. Biopsy was negative, but 2 years later computed tomography showed progression, and adrenalectomy was performed, revealing transition...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2005-02, Vol.65 (2), p.388-388
Main Authors: Wyler, S.F., Bachmann, A., Casella, R., Tapia, C., Gasser, T.C., Sulser, T.
Format: Article
Language:English
Subjects:
Adrenal Gland Neoplasms - secondary
Adrenal Gland Neoplasms - surgery
Adrenalectomy
Biopsy
Carcinoma, Transitional Cell - secondary
Carcinoma, Transitional Cell - surgery
Cystectomy
False Negative Reactions
Humans
Male
Middle Aged
Remission Induction
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
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Summary:A preoperative computed tomography scan in a patient undergoing radical cystectomy for pT1N0 grade 3 transitional cell carcinoma revealed a tumor in the adrenal gland. Biopsy was negative, but 2 years later computed tomography showed progression, and adrenalectomy was performed, revealing transitional cell carcinoma. Four years after cystectomy, the patient had no evidence of other metastases. We discuss surgery for solitary metastasis of transitional cell carcinoma as a curative treatment option.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2004.08.047