title: Presentation and management of a patient with subcutaneous metastatic transitional cell carcinoma of the bladder.
abstract: BACKGROUND
  A 60-year-old female with a 6-month history of muscle-invasive transitional cell carcinoma of the bladder presented with an enlarging subcutaneous lesion involving her right flank. She had previously undergone radical cystectomy, bilateral pelvic lymphadenectomy and ileal orthotopic neobladder reconstruction.
  
  
  METHODS
  Axial fused fluorodeoxyglucose PET-CT of the chest, abdomen and pelvis, fine needle aspiration with direct ultrasound guidance, excisional biopsy and immunohistochemistry.
  
  
  METHODS
  Subcutaneous and liver metastases of transitional cell carcinoma.
  
  
  RESULTS
  Wide local excision of the subcutaneous lesion followed by combination gemcitabine-cisplatin chemotherapy. Gemcitabine was administered at a dose of 1,000 mg/m(2) on days 1, 8, and 15, and cisplatin was administered at a dose of 75 mg/m(2) on day 1; the schedule was repeated every 28 days for three cycles.
authors.affiliation: Northwestern University, Chicago, IL, USA.
authors.forename: Hannah H
authors.initials: HH
authors.lastname: Alphs
authors.forename: Jennifer
authors.initials: J
authors.lastname: Miles-Thomas
authors.forename: Frank
authors.initials: F
authors.lastname: Attenello
authors.forename: Janis M
authors.initials: JM
authors.lastname: Taube
authors.forename: Gustavo
authors.initials: G
authors.lastname: Fonseca
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Guzzo
authors.forename: Mark P
authors.initials: MP
authors.lastname: Schoenberg
authors.forename: Trinity J
authors.initials: TJ
authors.lastname: Bivalacqua
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D019468:Disease Management; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000628:therapy; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery*; D050151:Subcutaneous Fat / Q000473:pathology / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000601:surgery*