title: Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
abstract: Introduction.Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging.Case Presentation.We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carcinoma of the bladder to regional pelvic and retroperitoneal lymph nodes. He underwent systemic chemotherapy for treatment of urothelial carcinoma and was discovered on restaging to have findings suggestive of disease progression but ultimately was found to have a concurrent secondary malignancy.Conclusion.Our case suggests that in patients with urothelial carcinoma, the concurrent presentation of regional lymphadenopathy may not be metastatic urothelial carcinoma and may warrant further investigation.
authors.affiliation: Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Azka
authors.identifier: 0000-0001-7476-6664
authors.initials: A
authors.lastname: Ali
authors.affiliation: Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: William P
authors.initials: WP
authors.lastname: Skelton
authors.affiliation: Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Neeka N
authors.initials: NN
authors.lastname: Akhavan
authors.affiliation: Department of Internal Medicine, University of Central Florida, Orlando, FL, USA.
authors.forename: Thu-Cuc
authors.initials: TC
authors.lastname: Nguyen
authors.affiliation: Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Zachary A
authors.initials: ZA
authors.lastname: Taylor
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Tabitha
authors.initials: T
authors.lastname: Townsend
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Prajwol
authors.identifier: 0000-0002-4057-8822
authors.initials: P
authors.lastname: Pathak
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Nalini
authors.initials: N
authors.lastname: Hasija
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Indrisek
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Watson
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Isis
authors.initials: I
authors.lastname: Nixon
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Nam H
authors.initials: NH
authors.lastname: Dang
authors.affiliation: Department of Radiation Oncology, University of Florida, Gainesville, FL, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Zlotecki
authors.affiliation: Department of Urology, University of Florida, Gainesville, FL, USA.
authors.forename: Paul
authors.identifier: 0000-0002-3699-6183
authors.initials: P
authors.lastname: Crispen
authors.affiliation: Department of Pathology, University of Florida, Gainesville, FL, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Allan
authors.affiliation: Department of Radiology, University of Florida, Gainesville, FL, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Abbitt
authors.affiliation: Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
authors.forename: Long H
authors.identifier: 0000-0002-6139-6294
authors.initials: LH
authors.lastname: Dang