Metastatic Hepatocellular Carcinoma in the Urinary Bladder with Radiation -Induced Hemprrhagic Cystitis
Resource
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION v.106 n.10 pp.861-863
Journal
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
Journal Volume
v.106
Journal Issue
n.10
Pages
861-863
Date Issued
2007
Date
2007
Author(s)
CHUNG, SHIU-DONG
HO, CHEN-HSUN
HUNG, SHUN-FA
TAI, HUAI-CHING
YU, HONG-JENG
HUANG, KUO-HOW
Abstract
Metastatic hepatocellular carcinoma (HCC) to the urinary bladder is very rare. We present the case of a 58-year-old female patient who was diagnosed to have both HCC and cervical cancer. She developed hemorrhagic cystitis 2 years after radiation therapy for cervical cancer. During endoscopic electrocauterization for hemorrhagic cystitis, three small reddish tumors measuring less than 1 cm in diameter and with a raspberry- like appearance were found. Transurethral bladder tumor resection was performed. Pathology confirmed metastatic HCC to the bladder. Due to the similar appearance, these tumors are liable to be misinterpreted as engorged vessels secondary to irradiation if biopsies are not taken. Differential diagnosis by pathology is mandatory for such patients.
Subjects
bladder neoplasm
hemorrhagic cystitis
hepatocellular carcinoma
radiation
SDGs