CLINICAL CASE OF MALIGNANT NEOPLASM OF THE BLADDER WITH DISTANT METASTASES OF RARE LOCALIZATION
Abstract
This article presents a case of malignant neoplasm of the bladder with distant metastases in a 62 year old man. The tumor was discovered for the first time in another institution in July 2022, the presence of pleural carcinomatosis and metastases in the intracoracic lymph nodes was assumed. The patient conducted chemotherapeutic treatment and transurethral resection. The histological type of tumor was urothelial carcinoma. Upon admission to the City Mariinsky Hospital, the histological type of the tumor was confirmed, corresponded to a highly differentiated urothelial carcinoma with invasion of paravesical adipose tissue. Clinical specialists after conducting research, based on instrumental, physical and laboratory analysis, discovered metastases in the pleura, lungs, regional lymph nodes, peritoneum, genitourinary dia phragm, bone skeleton. The patient died on the 9th day of hospitalization. During the pathoanatomic autopsy, metastases were detected in the stomach, heart, kidneys, liver. This clinical case is rare, since the process of metastasis was observed in the heart and stomach.
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