Yonsei Med J.  2005 Feb;46(1):181-183. 10.3349/ymj.2005.46.1.181.

Metastasis of Transitional Cell Carcinoma to the Lower Abdominal Wall 20 Years after Cystectomy

• Ku JH
• Yeo WG
• Park MY
• Lee ES
• Kim HH

• KMID: 2158133
• DOI: http://doi.org/10.3349/ymj.2005.46.1.181

Abstract

Iatrogenic implantation has been the main cause in the majority of cases of transitional call carcinoma (TCC) with metastasis to the abdominal wall. A 66-year-old woman had undergone radical cystectomy 20 years prior to presenting. Radiological investigations revealed one mass in the left lower abdominal wall and one mass in the right inguinal area. She underwent wide excision of the lesions that revealed metastasis of TCC. This report describes this case of a woman with bladder carcinoma who developed a metastasis in the anterior abdominal wall following an apparent disease-free interval of 20 years.

Keyword

Abdominal wall metastasis; bladder; transitional cell carcinoma

MeSH Terms

Abdominal Wall/*pathology
Aged
Bladder Neoplasms/*pathology/*surgery
Carcinoma, Transitional Cell/*secondary/*surgery
Cystectomy
Female
Humans
Soft Tissue Neoplasms/*secondary
Time Factors

Figure

• 

  Fig. 1 (A) Computerized tomography shows lobulated contoured mass lesion (arrow) in the left anterior low abdominal wall with calcifications. (B) Computerized tomography shows another lobulated contoured mass lesion (arrow) in the right inguinal area.

• 

  Fig. 2 (A) Pathologic findings of the tumor in the left lower abdominal wall show an intermediate-differentiated, transitional call carcinoma (WHO grade II/III) with severe ossification. (B) Pathologic findings of the tumor in the right inguinal area show a well-differentiated, transitional call carcinoma (WHO grade I/III) with marked squamous differentiation (hematoxylin-eosin staining; original magnification × 100).

• 

  Fig. 3 Follow-up computerized tomography after two cycles of systemic chemotherapy demonstrates a new mass (arrow) in the left lower quadrant area anterior aspect of the iliac wing.

Reference

1. Ilyama T, Watanebe H. Scrotal metastasis from ureteral cancer. J Urol. 2001. 165:1637.

2. Andersen JR, Steven K. Implantation metastasis after laparoscopic biopsy of bladder cancer. J Urol. 1995. 153:1047–1048.

3. Otani M, Irie S, Tsuji Y. Port site metastasis after laparoscopic nephrectomy: unsuspected transitional cell carcinoma within a tuberculous atrophic kidney. J Urol. 1999. 162:486–487.

4. Spector JI, Zimbler H, DeLeo M, Ross JS. Skin metastasis from transitional cell carcinoma. Urology. 1987. 29:215–217.

5. Elston DM, Tuthill RJ, Pierson J, Marden JD, Bergfeld WF. Carcinoma erysipelatoides resulting from genitourinary cancer. J Am Acad Dermatol. 1996. 35:993–995.

6. Chitale SV, Morrow DR, Patel R, Gaches CG, Ball RY. Cutaneous metastases from transitional cell carcinomas of the bladder and renal pelvis. Br J Urol. 1997. 79:292–293.

7. Ando K, Goto Y, Kato K, Murase T, Matsumoto Y, Ohashi M. Zosteriform inflammatory metastatic carcinoma from transitional cell carcinoma of the renal pelvis. J Am Acad Dermatol. 1994. 31:284–286.