An Unusual Case of Urothelial Carcinoma of Bladder with Metastasis to Brain and Skeletal Muscles Evaluated on 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography

Dang, Shreya; Pereira, Melvika; Singh, Natasha; Shivdasani, Divya; Roy, Debdip; Rungta, Rachita

doi:10.4103/ijnm.ijnm_15_22

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2024

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“…We reviewed published cases of SMMs from primary bladder urothelial carcinomas, identifying 18 cases from 17 publications from 1996 to 2022, as summarized in Table 1 [ 16 - 32 ]. The patients were male in all 18 cases, with an average age of 62.6 years.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Bladder Urothelial Carcinoma Masquerading as Myositis

Dilli,

Mi,

Guzman

2024

J Med Cases

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Skeletal muscle metastases are uncommon, and metastases of urothelial carcinoma to the skeletal muscle are particularly rare. The most common presentation of skeletal muscle metastases is a focal mass, but their clinical and radiographic findings can be diverse. We present an unusual case of a 71-year-old male without prior known history of malignancy who presented with skeletal muscle pain with imaging most consistent with an inflammatory or infectious process but was ultimately determined to be metastatic urothelial carcinoma from the bladder. This case demonstrates the need to keep an expanded differential for muscular pain, particularly when initial treatments are ineffective.

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Section: Discussionmentioning

confidence: 99%