Metastatic bladder tumor from gastric carcinoma: a case report] |
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| Authors: | T Ueda N Miura K Suzuki F Suzuki H Inomiya T Kotake Y Nishikawa K Yamaguchi H Ito |
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| Affiliation: | Department of Urology, Teikyo University School of Medicine, Ichihara Hospital. |
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| Abstract: | A 63-year-old man with a two-month history of nocturia and dysuria consulted his family doctor. As renal dysfunction and bilateral hydronephrosis were indicated, he was admitted to our hospital on November 28, 1988. Cystoscopy revealed a non-papillary and flat tumor from the ureteral orifice to the back wall of the bladder. A biopsy of the bladder wall revealed signet-ring cell carcinoma. A metastatic bladder tumor was suspected and laboratory tests of tumor markers showed a carcinoembryonic antigen value (CEA) of 1,000 ng/ml and CA19-9 of 12,210 U/ml. Upper gastrointestinal examination revealed carcinomatosis involving the stomach. A biopsy specimen of the stomach revealed the same pathological finding as the bladder wall. A metastatic bladder tumor was confirmed. The patient died of pulmonary emboli on December 11, 1988. |
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