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A Case of Bladder Cancer Found during a Workup for Urge Incontinence

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초록

Irritative urinary symptoms may suggest the possibility of bladder cancer. We report a case of metastatic bladder cancer that was discovered during a workup for urge incontinence in a 65-year-old woman with a history of stomach cancer. She had a medical history of gastrectomy due to stomach cancer 4 years previously. The patient complained of urgency unresponsive to anticholinergic therapy. Cystoscopy revealed the presence of suspicious bladder mucosal lesions that were biopsied. The pathology was consistent with metastatic signet-ring cell adenocarcinoma. This case suggests that irritative urinary symptoms can be the first clinical manifestation in patients with bladder cancer.

Abstract

Irritative urinary symptoms may suggest the possibility of bladder cancer. We report a case of metastatic bladder cancer that was discovered during a workup for urge incontinence in a 65-year-old woman with a history of stomach cancer. She had a medical history of gastrectomy due to stomach cancer 4 years previously. The patient complained of urgency unresponsive to anticholinergic therapy. Cystoscopy revealed the presence of suspicious bladder mucosal lesions that were biopsied. The pathology was consistent with metastatic signet-ring cell adenocarcinoma. This case suggests that irritative urinary symptoms can be the first clinical manifestation in patients with bladder cancer.

참고문헌 (5)

  1. Valero Puerta JA, "Bladder metastasis of signet-ring cell adenocarcinoma from the stomach", Arch Esp Urol, 53, pp.839~841 (2000)
  2. Leddy FF, "Urogenital linitis plastica metastatic from stomach", Urology, 39, pp.464~467 (1992)
  3. Messing ED, "Urothelial tumors of the bladder in: Capbell-Walsh Urology 8th ed", pp.2047~2046 (2007), Saunders
  4. Saba NF, "Metastatic signet-ring cell adenocarcinoma to the urinary bladder", Acta Oncol, 36, pp.219~220 (1997)
  5. Nitti VW, "Urinary incontinence: Epidemiology, pathophysiology, evaluation, and management overview in: Capbell-Walsh Urology 8th ed", pp.2046~2090 (2007), Saunders

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