Brystkreftmetastaser i urinblæren.
Journal
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
ISSN: 0807-7096
Titre abrégé: Tidsskr Nor Laegeforen
Pays: Norway
ID NLM: 0413423
Informations de publication
Date de publication:
15 Oct 2024
15 Oct 2024
Historique:
medline:
15
10
2024
pubmed:
15
10
2024
entrez:
15
10
2024
Statut:
epublish
Résumé
Bladder cancer is usually of urothelial origin. Locoregional metastases to the bladder may occur. Distant metastases to the bladder are rare. We present a woman in her eighties diagnosed with breast cancer (infiltrating lobular carcinoma). Three years after her treatment (surgery and radiotherapy), she was referred to the department of urology with macroscopic haematuria and night sweats. She was diagnosed with kidney stones based on the results from CT scans, urine cytology and cystoscopy. A few months after the urological evaluation, the patient had increasing MUC1 (CA 15 - 3) levels. Radiological and gynaecological examination did not reveal metastases. Due to recurrent haematuria, the urological workup with cystoscopy and CT was repeated, which revealed bladder pathology. Histology from these changes showed metastases from breast cancer. Distant metastases to the bladder may be hard to detect. In this case, concurrent kidney stones made the diagnosis even more challenging.
Sections du résumé
Background
UNASSIGNED
Bladder cancer is usually of urothelial origin. Locoregional metastases to the bladder may occur. Distant metastases to the bladder are rare.
Case presentation
UNASSIGNED
We present a woman in her eighties diagnosed with breast cancer (infiltrating lobular carcinoma). Three years after her treatment (surgery and radiotherapy), she was referred to the department of urology with macroscopic haematuria and night sweats. She was diagnosed with kidney stones based on the results from CT scans, urine cytology and cystoscopy. A few months after the urological evaluation, the patient had increasing MUC1 (CA 15 - 3) levels. Radiological and gynaecological examination did not reveal metastases. Due to recurrent haematuria, the urological workup with cystoscopy and CT was repeated, which revealed bladder pathology. Histology from these changes showed metastases from breast cancer.
Interpretation
UNASSIGNED
Distant metastases to the bladder may be hard to detect. In this case, concurrent kidney stones made the diagnosis even more challenging.
Identifiants
pubmed: 39404242
pii: 24-0104
doi: 10.4045/tidsskr.24.0104
doi:
Types de publication
Case Reports
English Abstract
Journal Article
Langues
nor
Sous-ensembles de citation
IM