Metastatic Hepatocellular Carcinoma in the Urinary Bladder with Radiation-induced Hemorrhagic Cystitis

Shiu-Dong Chung, Chen-Hsun Ho, Shun-Fa Hung, Huai-Ching Tai, Hong-Jeng Yu, Kuo-How Huang
2007 Journal of the Formosan Medical Association  
Metastatic hepatocellular carcinoma (HCC) to the urinary bladder is very rare. We present the case of a 58-year-old female patient who was diagnosed to have both HCC and cervical cancer. She developed hemorrhagic cystitis 2 years after radiation therapy for cervical cancer. During endoscopic electrocauterization for hemorrhagic cystitis, three small reddish tumors measuring less than 1 cm in diameter and with a raspberry-like appearance were found. Transurethral bladder tumor resection was
more » ... resection was performed. Pathology confirmed metastatic HCC to the bladder. Due to the similar appearance, these tumors are liable to be misinterpreted as engorged vessels secondary to irradiation if biopsies are not taken. Differential diagnosis by pathology is mandatory for such patients. [J Formos Med Assoc 2007;106(10):861-863]
doi:10.1016/s0929-6646(08)60052-2 pmid:17964966 fatcat:nktqqfkaarfppixdekkbdo7ve4