A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder

Elderly patients with breast cancer often present with symptomatic, locoregionally advanced rather than screening-detected disease, thereby increasing the risk of metastatic recurrence during their remaining life time. Typical sites of metastases include lungs, bones, liver, and brain. Here we prese...

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Main Authors: Carsten Nieder, Adam Pawinski
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2014/931546
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author Carsten Nieder
Adam Pawinski
author_facet Carsten Nieder
Adam Pawinski
author_sort Carsten Nieder
collection DOAJ
description Elderly patients with breast cancer often present with symptomatic, locoregionally advanced rather than screening-detected disease, thereby increasing the risk of metastatic recurrence during their remaining life time. Typical sites of metastases include lungs, bones, liver, and brain. Here we present a patient who developed a solitary urinary bladder metastasis five years after primary diagnosis of stage T4 N0 estrogen receptor-positive lobular carcinoma, while on continued adjuvant endocrine treatment (91 years of age). Anemia and increased serum creatinine resulting from hydronephrosis led to diagnosis of metastatic disease, which was confirmed by transurethral resection. The patient responded clinically to palliative radiotherapy and a different type of endocrine therapy. One year after diagnosis of metastatic disease, she died without signs of cancer progression.
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spelling doaj-art-e7204b6bc31f40ed81e64d86df6fc2ea2025-08-20T02:21:10ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/931546931546A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary BladderCarsten Nieder0Adam Pawinski1Department of Oncology and Palliative Medicine, Nordland Hospital, P.O. Box 1480, 8092 Bodø, NorwayDepartment of Oncology and Palliative Medicine, Nordland Hospital, P.O. Box 1480, 8092 Bodø, NorwayElderly patients with breast cancer often present with symptomatic, locoregionally advanced rather than screening-detected disease, thereby increasing the risk of metastatic recurrence during their remaining life time. Typical sites of metastases include lungs, bones, liver, and brain. Here we present a patient who developed a solitary urinary bladder metastasis five years after primary diagnosis of stage T4 N0 estrogen receptor-positive lobular carcinoma, while on continued adjuvant endocrine treatment (91 years of age). Anemia and increased serum creatinine resulting from hydronephrosis led to diagnosis of metastatic disease, which was confirmed by transurethral resection. The patient responded clinically to palliative radiotherapy and a different type of endocrine therapy. One year after diagnosis of metastatic disease, she died without signs of cancer progression.http://dx.doi.org/10.1155/2014/931546
spellingShingle Carsten Nieder
Adam Pawinski
A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
Case Reports in Oncological Medicine
title A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
title_full A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
title_fullStr A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
title_full_unstemmed A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
title_short A Case of Recurrent Breast Cancer with Solitary Metastasis to the Urinary Bladder
title_sort case of recurrent breast cancer with solitary metastasis to the urinary bladder
url http://dx.doi.org/10.1155/2014/931546
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AT adampawinski acaseofrecurrentbreastcancerwithsolitarymetastasistotheurinarybladder
AT carstennieder caseofrecurrentbreastcancerwithsolitarymetastasistotheurinarybladder
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