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- W15418304 abstract "A 79-year-old man presented with haematuria four years after a left nephrectomy for renal cell carcinoma (Figure 1). Cystoscopy revealed a tumour at the left ureteric orifice and this was resected transureterally. Histopathological analysis confirmed a recurrence of renal cell carcinoma. A further transurethral resection was performed a year later for a similar recurrence but the symptom of painless haematuria persisted and CT scan confirmed tumour in the left ureteric stump. This was excised with an adjacent cuff of bladder by an open procedure, and histopathological analysis confirmed renal cell carcinoma (Figure 2). Six months later, the patient is alive and well. Metastasis of renal cell carcinoma to the bladder is a rare event, with only 32 cases reported up to 1997.1-3 The mechanism by which this occurs is unknown, although direct extension and implantation, retrograde venous embolism and lymphatic spread have been postulated as possible methods of metastasis. Macroscopically, this patient had superficial recurrence, so had a transurethral resection as previously advocated.2 He progressed to an open excision of ureteric stump and adjacent bladder when the disease process was found to be more extensive and transurethral resection was not possible. The prognosis for such patients is poor, with most dying within a year after the presentation of metastasis.3 There have been no reports of long-term survivors.2,3 In this case the patient continues to be alive and well four years after presentation of his metastases and seven years after his initial presentation and nephrectomy." @default.
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- W15418304 date "1998-10-01" @default.
- W15418304 modified "2023-09-26" @default.
- W15418304 title "A long‐term survivor with bladder metastasis from renal cell carcinoma" @default.
- W15418304 cites W1976371774 @default.
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- W15418304 doi "https://doi.org/10.1111/j.1742-1241.1998.tb08927.x" @default.
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