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Unusual metastasis after radical cystectomy: case report
Mohammed H Mohammed1, Fadel Mardnly1, Mohamad Ghrer1
1Urology, Damascus University, Al Assad University Hospital, Damascus 30621, Syria.
Journal of Surgical Case Reports
|March 8, 2024
Summary
Cutaneous metastasis of urothelial carcinoma is rare. This case highlights a bladder cancer patient developing a rare cheek metastasis after surgery, leading to widespread disease.
Area of Science:
- Uro-oncology
- Surgical oncology
- Medical oncology
Background:
- Radical cystectomy with ileal conduit is a standard treatment for bladder cancer.
- Cutaneous metastasis from urothelial carcinoma is an uncommon presentation.
Observation:
- A 57-year-old male presented with a cheek lesion 2 months post-radical cystectomy.
- The lesion was diagnosed as a metastatic nodule from high-grade urothelial carcinoma.
Findings:
- The patient had concurrent bone metastases.
- Despite surgical removal and chemotherapy, the disease progressed.
Implications:
- This case underscores the possibility of rare metastatic patterns in urothelial carcinoma.
- Highlights the importance of vigilance for unusual metastatic sites even after curative-intent surgery.
