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Transitional Cell Bladder Carcinoma Metastatic to the Skin

Transitional Cell Bladder Carcinoma Metastatic to the Skin Abstract Since Kretschmer1 reported the first English language case, the rareness of metastatic cutaneous bladder carcinoma has been well documented. McDonald et al2 found only two cases of cutaneous metastases in 1,114 cases of primary bladder carcinoma. In their extensive review of metastatic carcinoma in the skin, Brownstein and Helwig3 did not mention such a case. We describe a patient who had several features typical of this disorder. Report of a Case A 76-year-old woman was admitted to St Luke's-Roosevelt Hospital, New York, with painful erythematous nodules of six weeks' duration on her abdomen and thighs. Painless macroscopic hematuria had developed 16 months prior to admission to the hospital. At that time, aFig 1.—Photomicrograph showing transitional cell bladder cancer with densely packed malignant cells (hematoxylineosin, X240).Fig 2.—Close-up view of patient's eruption showing discrete papules on erythematous base.Fig 3.—Microscopic appearance of skin biopsy specimen disclosing tumor strands of References 1. Kretschmer HL: Carcinoma of the bladder with bone metastases . Surg Gynecol Obstet 1922;34:241-246. 2. McDonald JH, Heckel NJ, Kretschmer HL: Cutaneous metastases secondary to carcinoma of the urinary bladder . Arch Dermatol Syphil 1950;61:210-212.Crossref 3. Brownstein MH, Helwig EB: Patterns of cutaneous metastasis . Arch Dermatol 1972;105:862-868.Crossref 4. Jewett HJ, Strong GH: Infiltrating carcinoma of the bladder: Relation of depth of penetration of the bladder wall to incidence of local extension and metastases . J Urol 1946;55:366-372. 5. Barnes RW, Bergman RT, Hadley HL, et al: Control of bladder tumors by endoscopic surgery . J Urol 1967;97:864-868. 6. Resnick MI, O'Connor VJ Jr, Grayback JT: Metastases to the eye from transitional cell carcinoma of the bladder . J Urol 1975;114:722-724. 7. Hollander A, Grots IA: Oculocutaneous metastases from carcinoma of the urinary bladder: Case report and review of the literature . Arch Dermatol 1968;97:678-684.Crossref 8. Parsons WT, Babcock WS: Transitional cell carcinoma from urinary tract metastatic to skin . J Assoc Military Dermatol 1981;7:50-52. 9. Gordon HL, Munro R: Ocular metastases of bladder cancer . South Med J 1974;67:745-746.Crossref 10. Bright M, Wilkie JR: Carcinoma metastases to talus and metatarsals . JAMA 1969;210:1592.Crossref 11. Cohen E, Kim SW: Cutaneous manifestation of carcinoma of urinary bladder: Carcinoma erysipelatodes . Urology 1980;16:410-412.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Transitional Cell Bladder Carcinoma Metastatic to the Skin

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1983.01650320079023
Publisher site
See Article on Publisher Site

Abstract

Abstract Since Kretschmer1 reported the first English language case, the rareness of metastatic cutaneous bladder carcinoma has been well documented. McDonald et al2 found only two cases of cutaneous metastases in 1,114 cases of primary bladder carcinoma. In their extensive review of metastatic carcinoma in the skin, Brownstein and Helwig3 did not mention such a case. We describe a patient who had several features typical of this disorder. Report of a Case A 76-year-old woman was admitted to St Luke's-Roosevelt Hospital, New York, with painful erythematous nodules of six weeks' duration on her abdomen and thighs. Painless macroscopic hematuria had developed 16 months prior to admission to the hospital. At that time, aFig 1.—Photomicrograph showing transitional cell bladder cancer with densely packed malignant cells (hematoxylineosin, X240).Fig 2.—Close-up view of patient's eruption showing discrete papules on erythematous base.Fig 3.—Microscopic appearance of skin biopsy specimen disclosing tumor strands of References 1. Kretschmer HL: Carcinoma of the bladder with bone metastases . Surg Gynecol Obstet 1922;34:241-246. 2. McDonald JH, Heckel NJ, Kretschmer HL: Cutaneous metastases secondary to carcinoma of the urinary bladder . Arch Dermatol Syphil 1950;61:210-212.Crossref 3. Brownstein MH, Helwig EB: Patterns of cutaneous metastasis . Arch Dermatol 1972;105:862-868.Crossref 4. Jewett HJ, Strong GH: Infiltrating carcinoma of the bladder: Relation of depth of penetration of the bladder wall to incidence of local extension and metastases . J Urol 1946;55:366-372. 5. Barnes RW, Bergman RT, Hadley HL, et al: Control of bladder tumors by endoscopic surgery . J Urol 1967;97:864-868. 6. Resnick MI, O'Connor VJ Jr, Grayback JT: Metastases to the eye from transitional cell carcinoma of the bladder . J Urol 1975;114:722-724. 7. Hollander A, Grots IA: Oculocutaneous metastases from carcinoma of the urinary bladder: Case report and review of the literature . Arch Dermatol 1968;97:678-684.Crossref 8. Parsons WT, Babcock WS: Transitional cell carcinoma from urinary tract metastatic to skin . J Assoc Military Dermatol 1981;7:50-52. 9. Gordon HL, Munro R: Ocular metastases of bladder cancer . South Med J 1974;67:745-746.Crossref 10. Bright M, Wilkie JR: Carcinoma metastases to talus and metatarsals . JAMA 1969;210:1592.Crossref 11. Cohen E, Kim SW: Cutaneous manifestation of carcinoma of urinary bladder: Carcinoma erysipelatodes . Urology 1980;16:410-412.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 1983

References