Skeletal Muscle Metastases from Urothelial Cell Carcinoma
두승환, 김웅빈, 김봉기, 양원재, 윤종현, 송윤섭, 최인호,
소속 상세정보
두승환 ( Doo Seung-Whan )
Soonchunhyang University College of Medicine Department of Urology
김웅빈 ( Kim Woong-Bin )
Soonchunhyang University College of Medicine Department of Urology
김봉기 ( Kim Bong-Ki )
Soonchunhyang University College of Medicine Department of Urology
양원재 ( Yang Won-Jae )
Soonchunhyang University College of Medicine Department of Urology
윤종현 ( Yoon Jong-Hyun )
Soonchunhyang University College of Medicine Department of Urology
송윤섭 ( Song Yun-Seob )
Soonchunhyang University College of Medicine Department of Urology
최인호 ( Choi In-Ho )
Soonchunhyang University College of Medicine Department of Pathology
KMID : 0358320120530010063
Abstract
Hematogenous metastasis to skeletal muscle from urothelial carcinoma is extremely rare and metastatic disease to skeletal muscle tends to be found in people with advanced-stage neoplasm. We report in this paper a case of left sartorius muscle metastasis from urothelial cell carcinoma. A left nephroureterectomy with bladder cuff excision was performed and revealed a high-grade papillary transitional cell carcinoma (TCC) of the pelvis. And 6 month later, recurrent bladder cancer was found regular cystoscopy and then treated with transurethral resection of the bladder. After 6 times resection of bladder, an invasion into the bladder muscle layer was found. We recommended additional radical cystectomy to prevent the disease from advancing. However, the patient refused additional surgery. 6 month later, the patient complained of left thigh pain, so ultrasonography-guided biopsy of the nodular mass lesion in the left sartorius muscle was performed. The pathological analysis of the biopsy specimen revealed poorly differentiated metastatic urothelial carcinoma.
키워드
Metastasis; Urothelial cell carcinoma
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