Metastatic Small Intestinal Cancer of the Urinary Bladder

We report an extremely rare case of small intestinal cancer metastasized to the urinary bladder, presenting a urologic symptom. A 41-year-old man first presented with nausea, vomiting and abdominal pain. Based on the clinical diagnosis of jejunal cancer, he underwent a partial resection of the jejun...

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Main Authors: Teppei Morikawa, Akiteru Goto, Hiroaki Nishimatsu, Masashi Fukayama
Format: Article
Language:English
Published: Karger Publishers 2010-09-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/320939
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author Teppei Morikawa
Akiteru Goto
Hiroaki Nishimatsu
Masashi Fukayama
author_facet Teppei Morikawa
Akiteru Goto
Hiroaki Nishimatsu
Masashi Fukayama
author_sort Teppei Morikawa
collection DOAJ
description We report an extremely rare case of small intestinal cancer metastasized to the urinary bladder, presenting a urologic symptom. A 41-year-old man first presented with nausea, vomiting and abdominal pain. Based on the clinical diagnosis of jejunal cancer, he underwent a partial resection of the jejunum with lymph node dissection. The pathological diagnosis was moderately differentiated adenocarcinoma of the jejunum, pT4N0. Seventeen months after surgery, he presented with a gross hematuria. Computed tomographic scan showed wall thickening of the posterior wall of the urinary bladder. No tumor was found in other organs or lymph nodes. Based on histological and immunohistochemical analysis, the diagnosis of urinary bladder metastasis from jejunal adenocarcinoma was made. This is the first report of urinary bladder metastasis from small intestinal cancer. Although very rare, the possibility of metastatic small intestinal cancer should be considered in differential diagnosis in patients with adenocarcinoma involving the urinary bladder.
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spelling doaj.art-f0e46e896cab46b38a75b4ab61253e5a2022-12-21T17:32:26ZengKarger PublishersCase Reports in Oncology1662-65752010-09-013333433810.1159/000320939320939Metastatic Small Intestinal Cancer of the Urinary BladderTeppei MorikawaAkiteru GotoHiroaki NishimatsuMasashi FukayamaWe report an extremely rare case of small intestinal cancer metastasized to the urinary bladder, presenting a urologic symptom. A 41-year-old man first presented with nausea, vomiting and abdominal pain. Based on the clinical diagnosis of jejunal cancer, he underwent a partial resection of the jejunum with lymph node dissection. The pathological diagnosis was moderately differentiated adenocarcinoma of the jejunum, pT4N0. Seventeen months after surgery, he presented with a gross hematuria. Computed tomographic scan showed wall thickening of the posterior wall of the urinary bladder. No tumor was found in other organs or lymph nodes. Based on histological and immunohistochemical analysis, the diagnosis of urinary bladder metastasis from jejunal adenocarcinoma was made. This is the first report of urinary bladder metastasis from small intestinal cancer. Although very rare, the possibility of metastatic small intestinal cancer should be considered in differential diagnosis in patients with adenocarcinoma involving the urinary bladder.http://www.karger.com/Article/FullText/320939AdenocarcinomaImmunohistochemistryMetastasisSmall intestinal cancerUrinary bladder
spellingShingle Teppei Morikawa
Akiteru Goto
Hiroaki Nishimatsu
Masashi Fukayama
Metastatic Small Intestinal Cancer of the Urinary Bladder
Case Reports in Oncology
Adenocarcinoma
Immunohistochemistry
Metastasis
Small intestinal cancer
Urinary bladder
title Metastatic Small Intestinal Cancer of the Urinary Bladder
title_full Metastatic Small Intestinal Cancer of the Urinary Bladder
title_fullStr Metastatic Small Intestinal Cancer of the Urinary Bladder
title_full_unstemmed Metastatic Small Intestinal Cancer of the Urinary Bladder
title_short Metastatic Small Intestinal Cancer of the Urinary Bladder
title_sort metastatic small intestinal cancer of the urinary bladder
topic Adenocarcinoma
Immunohistochemistry
Metastasis
Small intestinal cancer
Urinary bladder
url http://www.karger.com/Article/FullText/320939
work_keys_str_mv AT teppeimorikawa metastaticsmallintestinalcanceroftheurinarybladder
AT akiterugoto metastaticsmallintestinalcanceroftheurinarybladder
AT hiroakinishimatsu metastaticsmallintestinalcanceroftheurinarybladder
AT masashifukayama metastaticsmallintestinalcanceroftheurinarybladder