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Case Report
Single lung metastasis of urothelial carcinoma can be cured by surgical resection with long-term survival
1 Urology Resident, Urology Department, King Fahad Hospital, Hufof, Saudi Arabia
2 Urology Consultant, Urology Department, King Fahad Specialist Hospital Dammam, Dammam 32253, Saudi Arabia
3 Medical student, College of Medicine, King Faisal University, Hufof, Saudi Arabia
Address correspondence to:
Ahmed Mousa Almuhanna
Urology Resident, Urology Department, King Fahad Hospital, Hufof,
Saudi Arabia
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Article ID: 100030Z15AA2023
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Almuhanna AM, Alshammari AK, Almuhanna SM, Gomha MA. Single lung metastasis of urothelial carcinoma can be cured by surgical resection with long-term survival. J Case Rep Images Urol 2023;8(1):10–13.ABSTRACT
Introduction: Metastatic urothelial carcinoma is unlikely to be cured.
Case Report: We present a case of urothelial carcinoma (UC) with lung metastasis which was cured after resection. A 57-year-old male who was found to have a mass in the right renal pelvis involving the right ureter and urinary bladder. Biopsies from the renal mass and the bladder showed papillary UC with no invasion to the lamina propria (pTa). He underwent a right radical nephroureterectomy, pelvic lymphadenectomy, and cystoprostatectomy with ileal loop conduit urinary diversion. A growing metastatic mass in the upper lobe of the left lung was found five years later. It was resected. On follow-up, he has no evidence of metastasis four years after surgery.
Conclusion: Pulmonary metastasis from urothelial origin can have cavitary appearance on computed tomography (CT) and can happen after more than five years of primary tumor resection. Long-term follow-up is necessary for detection of late metastasis that can be resected if solitary pulmonary with possible long-term survival.
Keywords: Lung metastasis, Malignancy, Tumor, Urothelial carcinoma
SUPPORTING INFORMATION
Author Contributions
Ahmed Mousa Almuhanna - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ahmed K Alshammari - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sukainah M Almuhanna - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohamed A Gomha - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Ahmed Mousa Almuhanna et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
