title: Solitary skin metastasis from sarcomatoid carcinoma of the bladder: a case report.
abstract: BACKGROUND
  Cutaneous metastases from carcinomas of the bladder are very rare. They are related to advanced stages of the disease and have poor prognosis with low survival rates. The common treatment modality of cutaneous metastases from a primary bladder cancer is wide local excision followed by chemotherapy.
  
  
  METHODS
  We report a case of solitary skin metastasis from a rare type of urinary bladder carcinoma in a 68 year-old Caucasian man. Urinary bladder carcinoma metastasizing to the skin is an uncommon finding despite the high incidence of this tumor. Skin metastasis generally presents in the late stages of this disease and indicates a poor outcome.
  
  
  CONCLUSIONS
  Because of the extremely aggressive malignant potential of sarcomatoid carcinomas, the indications for a transurethral resection of the bladder should be carefully assessed and suitable therapeutic strategies should be examined further.
authors.affiliation: Dipartimento di Chirurgia, Cattedra di Chirurgia Generale Università Tor Vergata, Direttore Prof, Giuseppe Petrella, Policlinico Tor Vergata, Viale Oxford 81, 00133 Roma, Italia. nicky_brennan@hotmail.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: Manzelli
authors.forename: Silvia
authors.initials: S
authors.lastname: Quaresima
authors.forename: Piero
authors.initials: P
authors.lastname: Rossi
authors.forename: Athanasios
authors.initials: A
authors.lastname: Petrou
authors.forename: Edoardo
authors.initials: E
authors.lastname: Ricciardi
authors.forename: Nicholas
authors.initials: N
authors.lastname: Brennan
authors.forename: Michael
authors.initials: M
authors.lastname: Kontos
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Petrella