Metastatic Breast Cancer to the Bladder – case report and review of literature

Authors

  • Elżbieta ŁuczyÅ„ska
  • Tomasz Pawlik
  • Anna Chwalibóg
  • Joanna AnioÅ‚
  • Janusz RyÅ›

DOI:

https://doi.org/10.3941/jrcr.v4i5.395

Keywords:

breast cancer, breast invasive lobular carcinoma, recurrent lesion, transurethral resection, urinary bladder metastasis

Abstract

The main cause of mortality among patients with breast cancer is the metastatic spread of the primary tumour. The urinary bladder is considered as an unusual site for breast cancer metastasis. A patient has presented with right breast tumour and qualified for surgical treatment. After removal of the mass, an intra-operative and final pathology evaluation indicated breast invasive lobular carcinoma. Adjuvant chemotherapy was given. Years later, an increase of serum CA15-3 tumour marker level was noted and physical examination revealed a lump at the mastectomy scar. A follow-up abdominal ultrasound scan demonstrated thickening of the urinary bladder wall segment, confirmed later by CT scan. A transurethral resection of bladder was performed, reaffirming a neoplastic mass, with histological assessment revealing invasive breast carcinoma. Palliative chemotherapy was given and another follow-up ultrasound scans were unremarkable. The patient is alive today.

Author Biographies

Elżbieta Łuczyńska

Department of Diagnostic Imaging

Tomasz Pawlik

Department of Diagnostic Imaging

Correspondence author

Anna Chwalibóg

Department of Diagnostic Imaging

Joanna Anioł

Department of Diagnostic Imaging

Janusz RyÅ›

Department of Pathology

Published

2010-05-02

Issue

Section

Genitourinary Radiology