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Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report
Metastasis to the skeleton is uncommon in muscle-invasive carcinoma of the urinary bladder. When present, it most commonly involves the axial and proximal appendicular skeleton, and acrometastasis (metastasis to hand and foot) is very rare. We report a patient who developed a solitary metastatic les...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626925/ https://www.ncbi.nlm.nih.gov/pubmed/26604452 http://dx.doi.org/10.4103/0970-1591.163312 |
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author | Yadav, Siddharth Kumar, Rajeev |
author_facet | Yadav, Siddharth Kumar, Rajeev |
author_sort | Yadav, Siddharth |
collection | PubMed |
description | Metastasis to the skeleton is uncommon in muscle-invasive carcinoma of the urinary bladder. When present, it most commonly involves the axial and proximal appendicular skeleton, and acrometastasis (metastasis to hand and foot) is very rare. We report a patient who developed a solitary metastatic lesion of the left metatarsal 2 weeks after radical cystectomy. The lack of suspicion and magnetic resonance imaging findings suggestive of inflammation led to a diagnosis of tubercular osteomyelitis and antitubercular therapy was started. The patient developed nodal metastasis and, because the foot lesion did not respond to treatment, fine needle aspiration cytology from it revealed poorly differentiated metastatic cancer. |
format | Online Article Text |
id | pubmed-4626925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46269252015-11-24 Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report Yadav, Siddharth Kumar, Rajeev Indian J Urol Case Report Metastasis to the skeleton is uncommon in muscle-invasive carcinoma of the urinary bladder. When present, it most commonly involves the axial and proximal appendicular skeleton, and acrometastasis (metastasis to hand and foot) is very rare. We report a patient who developed a solitary metastatic lesion of the left metatarsal 2 weeks after radical cystectomy. The lack of suspicion and magnetic resonance imaging findings suggestive of inflammation led to a diagnosis of tubercular osteomyelitis and antitubercular therapy was started. The patient developed nodal metastasis and, because the foot lesion did not respond to treatment, fine needle aspiration cytology from it revealed poorly differentiated metastatic cancer. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4626925/ /pubmed/26604452 http://dx.doi.org/10.4103/0970-1591.163312 Text en Copyright: © Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Yadav, Siddharth Kumar, Rajeev Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title | Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title_full | Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title_fullStr | Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title_full_unstemmed | Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title_short | Solitary second metatarsal metastasis as the first site of distant spread in TCC urinary bladder: A case report |
title_sort | solitary second metatarsal metastasis as the first site of distant spread in tcc urinary bladder: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626925/ https://www.ncbi.nlm.nih.gov/pubmed/26604452 http://dx.doi.org/10.4103/0970-1591.163312 |
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