Inguinal lymph node metastasis of bladder carcinoma after radical cystectomy: A case report and review of literature.
Bladder cancer
Case report
Inguinal lymph node
Metastasis
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
18
06
2020
revised:
07
09
2020
accepted:
07
09
2020
pubmed:
30
9
2020
medline:
30
9
2020
entrez:
29
9
2020
Statut:
ppublish
Résumé
Lymph node metastasis in bladder cancer (BC) is common and has been associated with a very poor prognosis. Bc rarely metastasizes to inguinal lymph nodes. We reported an unusual case of right inguinal lymph node metastasis of transitional cell carcinoma of the bladder. Metastasis occurred 9 months after radical cystectomy for BC. The patient refused chemotherapy and underwent only surgical excision of lymph nodes without any adjuvant therapy. During a follow-up period of 3 years, the patient still having complete remission. Multiple studies showed an improved clinical outcome with adjuvant chemotherapy for pathological node-positive patients with BC. Long-term survival could be achieved for some patients with limited lymph node metastasis who underwent metastasectomy. Some studies supported the benefit of surgical consolidation after a good response to systemic chemotherapy. The best management plan for clinically node-positive BC is not established yet. There is little evidence on which to base the management of inguinal lymph node metastasis from BC. Metastasectomy could be an option with good outcomes.
Identifiants
pubmed: 32992094
pii: S2210-2612(20)30741-0
doi: 10.1016/j.ijscr.2020.09.068
pmc: PMC7522444
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
385-389Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
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