TY - JOUR
T1 - Metastatic transitional cell carcinoma from the bladder
T2 - Radiographic manifestations
AU - Goldman, S. M.
AU - Fajardo, A. A.
AU - Naraval, R. C.
AU - Madewell, J. E.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 1979
Y1 - 1979
N2 - Metastases from transitional cell carcinomas of the bladder are not widely appreciated radiographically, although they are commonly found at autopsy. Radiographic evidence of metastatic disease was reviewed in 51 patients. Sites included lung, 28; bone, 24; mediastinum, eight; liver, eight; brain, three; urethra, one; abdominal nodes, one; and extradural space, two. The patterns of lung metastases consisted of solitary nodules, multiple nodules, segmental infiltrates, pulmonary edema, and a Pancoast tumor. A sarcoidlike pattern with hilar and interstitial disease was also seen. One patient had a malignant pleural effusion. Mediastinal lymph node enlargement was isolated or associated with lung involvement. Bone metastases demonstrated either an osteoblastic or a mixed osteolytic-osteoblastic pattern in 47% of the instances. Ivory vertebrae were identified in three patients. Because of the significance of identifying metastatic disease before any extensive curative bladder surgery, the authors recommend at least a preoperative chest radiograph, a bone scan, and a liver scan.
AB - Metastases from transitional cell carcinomas of the bladder are not widely appreciated radiographically, although they are commonly found at autopsy. Radiographic evidence of metastatic disease was reviewed in 51 patients. Sites included lung, 28; bone, 24; mediastinum, eight; liver, eight; brain, three; urethra, one; abdominal nodes, one; and extradural space, two. The patterns of lung metastases consisted of solitary nodules, multiple nodules, segmental infiltrates, pulmonary edema, and a Pancoast tumor. A sarcoidlike pattern with hilar and interstitial disease was also seen. One patient had a malignant pleural effusion. Mediastinal lymph node enlargement was isolated or associated with lung involvement. Bone metastases demonstrated either an osteoblastic or a mixed osteolytic-osteoblastic pattern in 47% of the instances. Ivory vertebrae were identified in three patients. Because of the significance of identifying metastatic disease before any extensive curative bladder surgery, the authors recommend at least a preoperative chest radiograph, a bone scan, and a liver scan.
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U2 - 10.2214/ajr.132.3.419
DO - 10.2214/ajr.132.3.419
M3 - Article
C2 - 106647
AN - SCOPUS:0018425332
SN - 0361-803X
VL - 132
SP - 419
EP - 425
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 3
ER -