title: Haematuria as a presentation of metastatic oesophageal carcinoma.
abstract: Haematuria is a classical symptom of urological disease often signifying a primary bladder cancer. Rarely, however, the presence of blood in the urine can be due to secondary spread of tumours into the bladder from distant sites. Notably this has been reported to occur in breast cancer, malignant melanoma and gastric cancers. Haematuria due to spread from a primary oesophageal cancer to the bladder has never been reported. We present a case of haematuria confirmed histologically to be due to metastases from a primary oesophageal tumour. Oesophageal cancer is capable of spread to all three neighbouring compartments (abdomen, chest and neck) and therefore has the potential to spread to unusual sites. Clinicians should always carefully regard haematuria in a patient previously treated for cancer and retain a high index of suspicion for distant metastases as being the cause.
authors.affiliation: Department of Urology, Basildon University Hospital, Essex, UK. Saad.Al-dujaily@btuh.nhs.uk.
authors.forename: R
authors.initials: R
authors.lastname: Hargunani
authors.forename: S
authors.initials: S
authors.lastname: Al-Dujaily
authors.forename: Aks
authors.initials: A
authors.lastname: Abdulla
authors.forename: Dr
authors.initials: D
authors.lastname: Osborne
references.citation: Hinyokika Kiyo. 1983 Sep;29(9):1085-9
references.pmid: 6677142
references.citation: Nihon Gan Chiryo Gakkai Shi. 1990 Jul 20;25(7):1492-6
references.pmid: 2212839
references.citation: Hinyokika Kiyo. 1987 Jan;33(1):69-73
references.pmid: 3577968
references.citation: J Am Coll Surg. 2000 Aug;191(2):143-8
references.pmid: 10945357
references.citation: J Urol. 1979 Jan;121(1):90-1
references.pmid: 759652
references.citation: Hinyokika Kiyo. 1997 May;43(5):347-50
references.pmid: 9208319
references.citation: Histopathology. 2000 Jan;36(1):32-40
references.pmid: 10632749
references.citation: J Urol. 1956 Jun;75(6):965-72
references.pmid: 13320594
references.citation: Arch Esp Urol. 2002 Dec;55(10):1277-9
references.pmid: 12611231
references.citation: Hinyokika Kiyo. 2001 Apr;47(4):273-6
references.pmid: 11411104
references.citation: Br J Surg. 1994 Sep;81(9):1320-3
references.pmid: 7953400
references.citation: Breast. 2004 Feb;13(1):69-71
references.pmid: 14759720
references.citation: Hinyokika Kiyo. 1989 Sep;35(9):1565-8
references.pmid: 2683661
references.citation: Onkologie. 2003 Jun;26(3):249-51
references.pmid: 12845209
references.citation: J Urol. 1987 Feb;137(2):274-6
references.pmid: 3806818
references.citation: Ann Surg. 1986 Feb;203(2):188-95
references.pmid: 3947155