title: [Bladder urothelial carcinoma with acrometastasis: a case report and review of the literature].
abstract: The authors report a new case of acrometastasis of the hand, from a urothelial carcinoma of the bladder, in a 46-year-old woman, with a history of left lower lobectomy for bronchial carcinoma. Physical examination revealed a tumor of the dorsal hand, inflammatory and painful. The radiograph showed ill-defined osteolysis of the base of the fourth metacarpal. Two immunohistochemical studies were needed to confirm the origin of the bladder metastasis. The authors propose a review of the literature addressing the difficulty of diagnosis, treatment and poor prognosis of these lesions.
authors.affiliation: SOS main Illkirch-Graffenstaden, hôpitaux universitaires de Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Taleb
authors.forename: P
authors.initials: P
authors.lastname: Pelissier
authors.forename: H
authors.initials: H
authors.lastname: Choughri
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D005260:Female; D006225:Hand / Q000473:pathology; D006801:Humans; D050279:Metacarpal Bones / Q000473:pathology*; D008875:Middle Aged; D010014:Osteolysis; D010166:Palliative Care; D011379:Prognosis; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery