Non-muscle invasive bladder cancer with multiple bone metastasis without local invasion : a case report

A 66-year-old man with superficial bladder cancer was treated with transurethral resection (TURBT) in October 2011. The pathological diagnosis was urothelial carcinoma (UC), grade 2, T1. A second TURBT was performed one month later. The pathological diagnosis was UC, grade 3, T1. He was treated with...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 59(2013), 10 vom: 15. Okt., Seite 669-72
1. Verfasser: Sasaki, Yutaro (VerfasserIn)
Weitere Verfasser: Oi, Hiroyuki, Oyama, Takuro, Kagawa, Junichiro, Komori, Masatsugu, Senzaki, Tomokazu, Fukawa, Tomoya, Takahashi, Hisaya, Takemura, Masahiko, Yamaguchi, Kunihisa, Yamamoto, Yasuyo, Izaki, Hirofumi, Takahashi, Masayuki, Fukumori, Tomoharu, Kanayama, Hiro-omi
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Antimetabolites, Antineoplastic Antineoplastic Agents Deoxycytidine 0W860991D6 Cisplatin Q20Q21Q62J Gemcitabine
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520 |a A 66-year-old man with superficial bladder cancer was treated with transurethral resection (TURBT) in October 2011. The pathological diagnosis was urothelial carcinoma (UC), grade 2, T1. A second TURBT was performed one month later. The pathological diagnosis was UC, grade 3, T1. He was treated with intravesical bacillus Calmette-Guerin (BCG) after TURBT. His progress was satisfactory, but a small superficial bladder cancer was found on cystoscopy in August 2012. He was going to be treated with TURBT, but the serum alkaline phosphatase level was abnormally high on preoperative evaluation. Bone scintigraphy showed multiple bone metastases from non-muscle invasive bladder cancer (NMIBC) without local invasion. He was started on combined chemotherapy with 1,000 mg/m2 gemcitabine on days 1, 8 and 15 and 70 mg/m2 cisplatin on day 2 every four weeks. He received denosumab for multiple bone metastases at the same time. Although he subsequently developed severe hypocalcemia, treatment was continued, and he completed four courses of chemotherapy. Bone scintigraphy and contrast-enhanced computed tomography showed reduction of the multiple bone metastases, and alkaline phosphatase decreased to the normal range. It is rare for NMIBC without local invasion to metastasize to other organs. Thus, it is necessary to consider distant metastases in patients with NMIBC 
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700 1 |a Takahashi, Hisaya  |e verfasserin  |4 aut 
700 1 |a Takemura, Masahiko  |e verfasserin  |4 aut 
700 1 |a Yamaguchi, Kunihisa  |e verfasserin  |4 aut 
700 1 |a Yamamoto, Yasuyo  |e verfasserin  |4 aut 
700 1 |a Izaki, Hirofumi  |e verfasserin  |4 aut 
700 1 |a Takahashi, Masayuki  |e verfasserin  |4 aut 
700 1 |a Fukumori, Tomoharu  |e verfasserin  |4 aut 
700 1 |a Kanayama, Hiro-omi  |e verfasserin  |4 aut 
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