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J Korean Cancer Assoc > Volume 27(4); 1995 > Article
Journal of the Korean Cancer Association 1995;27(4): 680-686.
근치적 절제술 및 항암화학요법 후 혈뇨를 동반한 방광전이를 보인 위선암 1 예
송건훈, 양주영, 문희용, 송준현, 문영명, 강진경, 박인서, 이택, 홍순원
A Case of Metastatic Adenocarcinoma of Urinary Bladder from Gastric Cancer
Kun Hoon Song, Joo Young Yang, Hee Yong Moon, Jun Hyun Song, Young Myung Moon, Jin Kyung Kang, In Suh Park, Tack Lee, Soon Won Hong
The incidence of metastatic bladder cancer from a distant organ is quite rare. A sixty five-year old man visited our hospital complaining of painless gross hematuria. He had undergone radical subtotal gastrectomy with lymph node dissection and 6 cycles of postop- erative adjuvant chemotherapy for advanced gastric carcinoma ten months earlier. Cystogram and abdominopelvic CT scan howed contrast enhanced mass mainly located in superoanterior aspect of bladder walL The upper endoscopy and abdominal CT scan revealed no evidence of recurrence in primary site. Bleeding from bladder mass was successfully controlled with electrocauterization under direct vision of cystoscopy. This case was diagnosed as metastatic adenocarcinoma of urinary bladder from gastric cancer by cystocopic biopsy and cytologic examination of urine. The cell type and degree of differentiation was exactly identical between the tissue obtained from stomach during gastric cancer surgery and that obtained from blad- der by cystoscopic biopsy. Therefore, when urologic symptoms are newly developed to the patients who had malignancy of digestive organ, metastatic malignancy of urogenital organs should be considered, even though it is very rare. Herein, we report a case of metastatic urinary bladder cancer from advanced gastric carcinoma which occurred ten months after radical surgery.
Key words: Metastatic urinary bladder carcinoma, Gastric carcinoma
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