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Case series


Unusual Patterns of Thoracic Metastasis of Urinary Bladder Carcinoma.

Robert HienschHabtamu BeleteMahsan RashidfarokhiIrene GalperinFouzia ShakilOleg Epelbaum
Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New YorkDivision of Pulmonary and Sleep Medicine, Lenox Hill Hospital, Hofstra Northwell School of Medicine, Hofstra University, HempsteadDivision of Pulmonary and Critical Care Medicine, Elmhurst Hospital Center, Icahn School of Medicine, ElmhurstDivision of Pulmonary and Sleep Medicine, Lenox Hill Hospital, Northwell Health, Albert Einstein College of Medicine, BronxDepartment of Pathology, Westchester Medical Center, New York Medical CollegeDivision of Pulmonary, Critical Care, and Sleep Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA
Date of Submission: 01-Feb-2017, Date of Acceptance: 04-Feb-2017, Date of Web Publication: 25-May-2017.
Corresponding Author:
Corresponding Author

Oleg Epelbaum

Division of Pulmonary, Critical Care, and Sleep Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
E-mail: oleg.epelbaum@wmchealth.org

Corresponding Author:
Corresponding Author

Oleg Epelbaum

Division of Pulmonary, Critical Care, and Sleep Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
E-mail: oleg.epelbaum@wmchealth.org

DOI: 10.4103/jcis.JCIS_9_17 Facebook Twitter Google Linkedin

ABSTRACT


Urinary bladder carcinoma (UBC) is the ninth most common malignancy and the second most common urological malignancy after prostate cancer in men. Thoracic metastases occur in more than half of those with muscle-invasive disease, and these generally assume the form of multiple solid parenchymal lesions characteristic of hematogenous seeding of the lung. Unusual patterns of thoracic spread of UBC have also been described albeit sporadically in the form of case reports and series. The aim of our case series is to provide illustrations of several atypical patterns of thoracic involvement by UBC such as isolated mediastinal lymphadenopathy, cavitary lung metastases, malignant pleural effusion, endobronchial disease, and pulmonary tumor embolism. This review is meant to highlight the intersection of the fields of urological oncology and thoracic radiology in the care of patients with UBC.
Keywords: Urinary Bladder Carcinoma, Thoracic Metastasis, Transitional Cell Carcinoma, Urothelial Cell Carcinoma

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