[Metastatic bladder tumor from gastric carcinoma: a case report].
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.
Ueda
T
T
Department of Urology, Teikyo University School of Medicine, Ichihara Hospital.
Miura
N
N
Suzuki
K
K
Suzuki
F
F
Inomiya
H
H
Kotake
T
T
Nishikawa
Y
Y
Yamaguchi
K
K
Ito
H
H
D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D002272:Carcinoembryonic Antigen / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*
D002272:Carcinoembryonic Antigen