Case Report of International Journal of Case Reports
Metastatic bladder tumor from pancreatic adenocarcinoma
Konstantinos M. Skrepetis1, Ioannis Efthimiou1, Zacharias Chousianitis1, Stavros Peroukidis1
1Department of Urology, General Hospital of Messinia, Kalamata, Greece.
Metastatic pancreatic adenocarcinoma to the urinary bladder is extremely rare and has only been reported 4 cases worldwide. We describe such a case presented with hematuria and dysuria after ten months of the initial diagnosis. Immunohistochemistry helped to confirm the diagnosis of metachronous metastasis. Six months after being diagnosed with the bladder metastasis, progression with severe right hydronephrosis and mild dilatation of the left pyelocaliceal system palliated with an UventaTM metallic ureteral stent and a double J ureteric catheter.
Keywords: Metastasis; Pancreas; Bladder; Hydronephrosis
How to cite this article:
Konstantinos M. Skrepetis, Ioannis Efthimiou, Zacharias Chousianitis, Stavros Peroukidis. Metastatic bladder tumor from pancreatic adenocarcinoma. International Journal of Case Reports, 2020; 4:159.. DOI: 10.28933/ijcr-2020-08-2905
1. Chang KS, Lamki N, Athey PA: Metastasis to the bladder from pancreatic adenocarcinoma presenting with hematuria: Urol Radiol 1992;13:. 187-9.
2. Cellini M, Deighton DA: Radiological Case: Non-papillary bladder metastasis from pancreatic adenocarcinoma. Appl Radiol. 2014;43:74–6.
3. Petrides N, Singh R, Hodgson D: A case of delayed vesical pancreatic adenocarcinoma metastasis. J Clin Urol. 2013;6:127-8.
4. Shah A, Korrapati P, Siegel J, Kasmin F: Rare Metastasis of Primary Pancreatic Adenocarcinoma to the Bladder. ACG Case Rep J. 2018; 5:e27.
5. Velcheti V, Govindan R: Metastatic cancer involving bladder: a review. Can J Urol. 2007;14:3309-4.
6. Irisawa C, Onmura Y, Matsushita S: Metastatic malignant melanoma of the urinary bladder: a case report. Hinyokika Kiyo. 1987;33:424-7.
7. Kim KH, Cho KS, Ham WS, Hong SJ, Han KS: Early application of permanent metallic mesh stent in substitution for temporary polymeric ureteral stent reduces unnecessary ureteral procedures in patients with malignant ureteral obstruction. Urology. 2015;86:459–64.
8. Kim Jh, Song K, Jo Mk, et al: Palliative care of malignant ureteral obstruction with polytetrafluoroethylene membrane-covered self-expandable metallic stents: Initial experience. Korean J Urol. 2012; 53:625-31.
9. Chang RJ, Lee BH, Park B, et al: Efficacy and safety of a novel, double-layered, coated, self-expandable metallic mesh stent (UventaTM) in malignant ureteral obstructions. J Endourol. 2013; 27:930-5.