Secondary signet-ring cell adenocarcinoma of urinary bladder from a gastric primary

Sharma, Pramod Kumar; Vijay, Mukesh Kumar; Das, Ranjit Kumar; Chatterjee, Uttara

doi:10.4103/0974-7796.82177

Cited by 14 publications

(15 citation statements)

References 4 publications

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“…Metastases to urinary bladder could not only originate from the direct spread of a primary tumor, but also from implantation of detached pelvic/ureteric neoplastic cells, lymphogenic/hematogenous or even peritoneal dissemination from a distant primary neoplasm. Gastrointestinal origin is suspected if a biopsy reveals signet-ring cell adenocarcinoma [7,9]. A primary bladder adenocarcinoma is a very rare tumor.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature

et al. 2013

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IntroductionSecondary bladder neoplasms are uncommon and they represent only 2% of all malignant bladder tumors.Case presentationThe authors present a case of a 59-year-old Caucasian man with a primary gastric adenocarcinoma that had been surgically removed 10 years before he developed bladder metastasis. He presented with low abdominal pain after 10 years without any symptoms. Cystoscopy and an abdominal computed tomography scan showed a bladder tumor. A transurethral resection of the bladder tumor was performed. A histological examination revealed an adenocarcinoma, which turned out to be a metastasis of the primary gastric tumor. One year later, abdominal surgery revealed peritoneal metastases.ConclusionThis is the first known case in Europe where bladder metastasis occurred 10 years after surgical removal of a primary gastric neoplasm. There are only four cases in the literature where metastases of the peritoneum developed 11 years after surgical removal of a primary gastric tumor.

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Section: Discussionmentioning

confidence: 99%

Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature

et al. 2013

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“…[4] Of the two morphologic subtypes of metastatic adenocarcinomas to the urinary bladder, namely protuberant and diffuse, the diffuse type is difficult to diagnose as the presentation can be subtle. [5] www.pacificejournals.com/apalm eISSN: 2349-6983; pISSN: 2394-6466…”

Section: Discussionmentioning

confidence: 99%

Poorly differentiated adenocarcinoma manifesting as multifocal obstructive disease -a rare occurrence

Sathe¹,

Chaudhari²,

Karegar³

et al. 2018

APALM

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We describe an autopsy of a very unusual case of an adult female presenting with multifocal obstructive symptoms like achalasia, obstructive jaundice and bilateral hydronephrosis. Primary clinical diagnosis was tuberculosis and malignancy. Although the patient was extensively worked up in the hospital with multiple biopsies, the diagnosis could not be made. Autopsy revealed contiguous involvement of entire gastrointestinal tract from esophagus till colon by a poorly differentiated adenocarcinoma with diffuse thickening, firmness and rigidity of the wall. The tumor cells were focally expressing CK 20 favouring a colonic primary. Colonic adenocarcinoma usually spread by either lymphatic or hematogenous way to lymph nodes, liver and lung. This unusual way of spread of this tumor contiguously from colon till esophagus, with Urinary bladder and distal CBD infiltration make it very unique.

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“…The protuberant type commonly presents with gross haematuria facilitating its diagnosis, while the less common diffuse type is characterised by storage lower urinary tract symptoms without gross haematuria. The diffuse type can be confused with inflammatory conditions such as chronic cystitis and genitourinary tuberculosis 10. On cystoscopy, secondary tumours are mostly solitary (54%), located in the region of the bladder neck or trigone.…”

Section: Discussionmentioning

confidence: 99%

Synchronously detected secondary signet ring cell urinary bladder malignancy from the stomach masquerading as genitourinary tuberculosis

et al. 2015

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SUMMARYSecondary bladder neoplasms are very rare and represent 1% of all malignant bladder tumours. Among secondary bladder tumours, metastasis from the stomach accounts for about 4% of cases. These secondary tumours are generally detected during follow-up of patients already treated for gastric cancer. We report a case of metastatic adenocarcinoma of the urinary bladder from an occult primary poorly differentiated signet ring cell type gastric carcinoma masquerading clinically as genitourinary tuberculosis. Our case illustrates the importance of obtaining a bladder biopsy in suspected chronic inflammatory conditions such as urinary tract tuberculosis before starting medical management to avoid the serious consequences of missing a bladder malignancy. BACKGROUND

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Secondary signet-ring cell adenocarcinoma of urinary bladder from a gastric primary

Cited by 14 publications

References 4 publications

Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature

Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature

Poorly differentiated adenocarcinoma manifesting as multifocal obstructive disease -a rare occurrence

Synchronously detected secondary signet ring cell urinary bladder malignancy from the stomach masquerading as genitourinary tuberculosis

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