Cervical lymph node metastasis of a micropapillary carcinoma of the bladder: A case report with fine‐needle aspiration cytology and differential diagnosis

Pusztaszeri, Marc; Douaihy, Nadim; Pelte, Marie‐Françoise; Pache, Jean–Claude

doi:10.1002/dc.22845

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Cervical lymph node metastases of urothelial carcinoma are very uncommon and indicate widespread disease with poor prognosis. Pusztaszeri et al reported a case of a 44‐year‐old man with metastatic micropapillary carcinoma of the bladder presenting with a cervical lymph node metastases, diagnosed on FNAC. Hessan et al reported similar cases presenting, but only in 3 of 207 patients (1.4%) of a case series.…”

Section: Specific Primary Tumor Sitesmentioning

confidence: 99%

Cervical lymph node metastases from remote primary tumor sites

et al. 2015

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Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach.

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Section: Specific Primary Tumor Sitesmentioning

confidence: 99%

Cervical lymph node metastases from remote primary tumor sites

et al. 2015

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“…stage 4) showed cervical LAP in neck ultrasound. Cervical metastasis by bladder urothelial carcinomas is too rare, suggestive of extensive metastatic disease and poor prognosis (18). In our study, one patient with bladder carcinoma and extensive pelvic metastasis underwent neck sonography, showing cervical LAP due to underlying extensive pelvic metastasis.…”

Section: Discussionmentioning

confidence: 52%

The Use of Neck Sonography in Identifying Cervical Lymph Node: A Single Center Study from 2019 to 2020

Motamedfar¹,

Gharibvand²,

Sametzade³

et al. 2021

Jundishapur J Chronic Dis Care

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Background: Tumor metastasis, as one of the most important prognostic factors in solid tumors, affects survival remarkably. Cervical lymphadenopathy (LAP) reflects an advanced-stage disease and changes the tumor-node-metastasis (TNM) staging of tumor, resulting in a multidisciplinary approach to the management of cancer. Objectives: This study aimed to assess the importance of neck sonography in monitoring primary tumors. Methods: Records of 166 patients with distant primary cancers who underwent neck sonography from February 2019 to February 2020 were studied. Abnormal lymph nodes were reported, and then the patients underwent neck sonography and fine needle aspiration (FNA) or core needle biopsy (CNB) under direct US guidance. Thirty-two patients who were confirmed for malignant cervical LAP underwent neck lymph node biopsy as an easy and safe way to provide tissue diagnosis instead of providing biopsy from the primary source of tumor. Results: Malignant cervical LAP was confirmed in 32 patients (19.2%) by neck sonography. Seventy-seven patients (46.4%) were male and 89 patients (53.6%) were female. The patients were 22 to 88 years old (mean age = 57.7 years; standard deviation = 12.7). Thirty-two patients (19.2%) had pathological cervical lymph nodes and 134 patients (80.8%) did not have. Conclusions: Metastatic cervical LAP found by neck ultrasound will change pretreatment TNM staging of disease to provide optimal treatment on a case-by-case basis. According to the result of this study, routine neck sonography in patients with distant primary tumors is recommended.

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“…3 Pusztaszeri et al, reported a case of a 44-year-old man with metastatic micropapillary carcinoma of the bladder presenting with a cervical lymph node metastases, diagnosed on FNAC. 4 Hessan et al, reported similar cases presenting, but only in 3 of 207 patients (1.4%) of a case series. 5 A 9 year review of patients with head and neck metastases from 845 urogenital tract tumors (kidney, prostate, bladder, testes, penis, urethra and ureter) showed that only 31 (3.7%) of these tumors developed metastases to the cervical and supraclavicular lymph nodes.…”

Section: Discussionmentioning

confidence: 88%

Transitional cell carcinoma of urinary bladder with cervical lymph node metastasis: a case report and review of literature

Ramya

Sahayaraj

2019

Int J Adv Med

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Bladder cancer usually spreads via the lymphatic and hematogenous routes, the common sites of metastases of urinary bladder cancers being the regional lymph nodes, liver, lung, bone, peritoneum, pleura, kidney, adrenal gland and intestines. Metastasis to non-regional lymph nodes especially cervical lymph nodes is extremely rare presentation. Metastasis to head and neck region is associated with poor prognosis and low survival rate. Here-in we report a case of cervical lymph node metastasis in patient with muscle invasive bladder cancer.

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Cervical lymph node metastasis of a micropapillary carcinoma of the bladder: A case report with fine‐needle aspiration cytology and differential diagnosis

Cited by 7 publications

References 18 publications

Cervical lymph node metastases from remote primary tumor sites

Cervical lymph node metastases from remote primary tumor sites

The Use of Neck Sonography in Identifying Cervical Lymph Node: A Single Center Study from 2019 to 2020

Transitional cell carcinoma of urinary bladder with cervical lymph node metastasis: a case report and review of literature

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