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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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Detalles Bibliográficos
Autores principales: Yadav, Siddharth, Kumar, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
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.
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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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