title: Tibial metastasis from muscle invasive bladder carcinoma: an unusual site.
abstract: We report a case of a 61-year-old gentleman who presented with frank hematuria with associated weight loss and on-going left knee pain. Subsequent investigation revealed a muscle invasive bladder carcinoma with a related unusual bone metastasis. Though bone metastases form bladder carcinoma are common, frequent deposition sites include the spinal column and pelvis. This case report is to the best of our knowledge the first reported case of a tibial metastasis for relevant bladder carcinoma. Furthermore, we reviewed the literature, relevant diagnostic and management surrounding such occurrences.
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: David
authors.initials: D
authors.lastname: Brennan
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Kelly
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Nason
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Coilin
authors.initials: C
authors.lastname: Collins-Smyth
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Barry B
authors.initials: BB
authors.lastname: McGuire
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Gerald M
authors.initials: GM
authors.lastname: Lennon
keywords: Bladder neoplasm; Bone metastasis; Carcinoma