Curative surgery for solitary adrenal metastasis of pT1 G3 transitional cell carcinoma of the bladder.
A preoperative computed tomography scan in a patient undergoing radical cystectomy for pT1N0 grade 3 transitional cell carcinoma revealed a tumor in the adrenal gland. Biopsy was negative, but 2 years later computed tomography showed progression, and adrenalectomy was performed, revealing transitional cell carcinoma. Four years after cystectomy, the patient had no evidence of other metastases. We discuss surgery for solitary metastasis of transitional cell carcinoma as a curative treatment option.
Wyler
S F
SF
Department of Urology, University Hospital Basel, Basel, Switzerland. stephen.wyler@kssg.ch
Bachmann
A
A
Casella
R
R
Tapia
C
C
Gasser
T C
TC
Sulser
T
T
D000310:Adrenal Gland Neoplasms / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D001706:Biopsy; D002295:Carcinoma, Transitional Cell / Q000556:secondary* / Q000601:surgery; D015653:Cystectomy; D005188:False Negative Reactions; D006801:Humans; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000601:surgery