Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy

Bladder cancer usually spreads via the lymphatic and hematogenous routes, the most common sites of metastases of urinary bladder cancers being the regional lymph nodes, liver, lung, bone, peritoneum, pleura, kidney, adrenal gland and intestines. Generalized lymph node metastasis of transitional cell...

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Main Authors: Venkat Pavan Kancharla, Frederick A. Gulmi, Aref Agheli, Michael Degen, Arash Gohari, Ming Jiang, J.C. Wang
Format: Article
Language:English
Published: Karger Publishers 2010-04-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/312424
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author Venkat Pavan Kancharla
Frederick A. Gulmi
Aref Agheli
Michael Degen
Arash Gohari
Ming Jiang
J.C. Wang
author_facet Venkat Pavan Kancharla
Frederick A. Gulmi
Aref Agheli
Michael Degen
Arash Gohari
Ming Jiang
J.C. Wang
author_sort Venkat Pavan Kancharla
collection DOAJ
description Bladder cancer usually spreads via the lymphatic and hematogenous routes, the most common sites of metastases of urinary bladder cancers being the regional lymph nodes, liver, lung, bone, peritoneum, pleura, kidney, adrenal gland and intestines. Generalized lymph node metastasis of transitional cell cancer of the bladder is extremely rare. According to our literature search, there has been no case report of transitional cell cancer of the bladder that manifests as an extensive large lymph node metastasis involving the intraparotid, supraclavicular thoracic inlet, axillary and regional abdominal and pelvic lymph nodes without bone or visceral organs involved. Such a presentation could be mistaken as malignant lymphoma and the importance of a biopsy of the lymph nodes is emphasized. The clinical course of rapid progression of the disease and the presence of wild-type p53 with rapid response to chemotherapy and a short remission may represent a unique case, which is discussed here.
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spelling doaj.art-4b3e9a9527c642a185151250f368e9f52022-12-22T03:06:44ZengKarger PublishersCase Reports in Oncology1662-65752010-04-013212513010.1159/000312424312424Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized LymphadenopathyVenkat Pavan KancharlaFrederick A. GulmiAref AgheliMichael DegenArash GohariMing JiangJ.C. WangBladder cancer usually spreads via the lymphatic and hematogenous routes, the most common sites of metastases of urinary bladder cancers being the regional lymph nodes, liver, lung, bone, peritoneum, pleura, kidney, adrenal gland and intestines. Generalized lymph node metastasis of transitional cell cancer of the bladder is extremely rare. According to our literature search, there has been no case report of transitional cell cancer of the bladder that manifests as an extensive large lymph node metastasis involving the intraparotid, supraclavicular thoracic inlet, axillary and regional abdominal and pelvic lymph nodes without bone or visceral organs involved. Such a presentation could be mistaken as malignant lymphoma and the importance of a biopsy of the lymph nodes is emphasized. The clinical course of rapid progression of the disease and the presence of wild-type p53 with rapid response to chemotherapy and a short remission may represent a unique case, which is discussed here.http://www.karger.com/Article/FullText/312424Transitional cell bladder cancerMalignant lymphomaGeneralized lymphadenopathyMetastasis
spellingShingle Venkat Pavan Kancharla
Frederick A. Gulmi
Aref Agheli
Michael Degen
Arash Gohari
Ming Jiang
J.C. Wang
Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
Case Reports in Oncology
Transitional cell bladder cancer
Malignant lymphoma
Generalized lymphadenopathy
Metastasis
title Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
title_full Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
title_fullStr Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
title_full_unstemmed Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
title_short Transitional Cell Carcinoma of the Bladder Manifestating as Malignant Lymphoma with Generalized Lymphadenopathy
title_sort transitional cell carcinoma of the bladder manifestating as malignant lymphoma with generalized lymphadenopathy
topic Transitional cell bladder cancer
Malignant lymphoma
Generalized lymphadenopathy
Metastasis
url http://www.karger.com/Article/FullText/312424
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