Occurrence of bladder metastasis 10 years after surgical removal of a primary gastric cancer: a case report and review of the literature.
BACKGROUND
Secondary bladder neoplasms are uncommon and they represent only 2% of all malignant bladder tumors.


METHODS
The authors present a case of a 59-year-old Caucasian man with a primary gastric adenocarcinoma that had been surgically removed 10 years before he developed bladder metastasis. He presented with low abdominal pain after 10 years without any symptoms. Cystoscopy and an abdominal computed tomography scan showed a bladder tumor. A transurethral resection of the bladder tumor was performed. A histological examination revealed an adenocarcinoma, which turned out to be a metastasis of the primary gastric tumor. One year later, abdominal surgery revealed peritoneal metastases.


CONCLUSIONS
This is the first known case in Europe where bladder metastasis occurred 10 years after surgical removal of a primary gastric neoplasm. There are only four cases in the literature where metastases of the peritoneum developed 11 years after surgical removal of a primary gastric tumor.
Institute of Oncology, Medical and Health Science Center, University of Debrecen, Nagyerdei krt, 98, 4032 Debrecen, Hungary. andrascsilla@yahoo.com.
Csilla
C
András
László
L
Tóth
János
J
Pósán
Emese
E
Csiki
Miklós
M
Tanyi
Zoltán
Z
Csiki
Zoltán
Z
Garami
Attila
A
Enyedi
Tibor
T
Flaskó
Zsolt
Z
Horváth