Lung Metastasis of Ta Bladder Cancer: A Case Report and Literature Review
Sano Takeshi, Haitani Takao, Kajita Yoichiro, Shichiri Yasumasa, Hamada Shinshichi, Nakashima Masakazu,
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( Sano Takeshi )
Otsu Municipal Hospital Department of Urology
( Haitani Takao )
Otsu Municipal Hospital Department of Urology
( Kajita Yoichiro )
Otsu Municipal Hospital Department of Urology
( Shichiri Yasumasa )
Otsu Municipal Hospital Department of Urology
( Hamada Shinshichi )
Otsu Municipal Hospital Department of Pathology
( Nakashima Masakazu )
Kyoto University Graduate School of Medicine Department of Urology
KMID : 0358320130540040271
Abstract
A 66-year-old man with a history of multiple transurethral resections for recurrent bladder tumors, staged as Ta according to the International Union Against Cancer staging guidelines, presented with a complaint of dry cough. A round nodule with a diameter of 7.5 cm was detected in the lung by chest computed tomography, and a video-assisted thoracoscopic lobectomy was performed. Pulmonary metastasis of recurrent bladder cancer was diagnosed by immunohistochemistry staining for the urothelium-specific protein uroplakin Ia. Subsequently, 2 cycles of systemic chemotherapy were administered. Two and a half years after treatment, no recurrence of pulmonary lesions has been detected. A combination of complete resection of pulmonary lesions and systemic chemotherapy may result in a good prognosis for patients with non-muscle-invasive bladder cancer.
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Indirect fluorescent antibody technique;Solitary pulmonary nodule;Urinary bladder neoplasms
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