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Asymptomatic bladder metastasis from breast cancer
Luigi Cormio1, Francesca Sanguedolce2, Giuseppe Di Fino1
1Department of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71121 Foggia, Italy.
Case Reports in Urology
|April 10, 2014
Summary
This study reports the first case of an asymptomatic bladder metastasis from breast cancer, diagnosed 98 months after initial treatment. This finding highlights the need for vigilant follow-up for late-stage breast cancer patients.
Area of Science:
- Oncology
- Urology
Background:
- Breast cancer is a leading cause of cancer in women, commonly metastasizing to lymph nodes, lungs, liver, and bone.
- Bladder metastases from breast cancer are rare and typically present with urinary symptoms.
Purpose of the Study:
- To report the first case of a completely asymptomatic bladder metastasis from breast cancer.
- To emphasize the potential for late presentation and asymptomatic nature of breast cancer bladder metastases.
Main Methods:
- A case report detailing a patient with lobular breast carcinoma.
- Diagnosis of bladder metastasis was incidental, found during routine follow-up CT scan.
- Immunohistochemistry confirmed estrogen and progesterone receptor positivity.
Main Results:
- The patient presented with asymptomatic bladder metastasis 98 months after initial breast cancer diagnosis.
- Computed tomography revealed left bladder wall thickening and left hydronephrosis.
- Immunohistochemistry confirmed positive estrogen and progesterone receptors.
Conclusions:
- Bladder metastases from breast cancer can occur late after primary diagnosis.
- This case demonstrates that breast cancer bladder metastases can be asymptomatic.
- Suggests the importance of careful follow-up and early intervention for suspected cases.

