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KMID : 0358320130540040271
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Korean Journal of Urology
2013 Volume.54 No. 4 p.271 ~ p.273
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Lung Metastasis of Ta Bladder Cancer: A Case Report and Literature Review
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Sano Takeshi
Haitani Takao
Kajita Yoichiro
Shichiri Yasumasa
Hamada Shinshichi
Nakashima Masakazu
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Abstract
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A 66-year-old man with a history of multiple transurethral resections for recurrent bladder tumors, staged as Ta according to the International Union Against Cancer staging guidelines, presented with a complaint of dry cough. A round nodule with a diameter of 7.5 cm was detected in the lung by chest computed tomography, and a video-assisted thoracoscopic lobectomy was performed. Pulmonary metastasis of recurrent bladder cancer was diagnosed by immunohistochemistry staining for the urothelium-specific protein uroplakin Ia. Subsequently, 2 cycles of systemic chemotherapy were administered. Two and a half years after treatment, no recurrence of pulmonary lesions has been detected. A combination of complete resection of pulmonary lesions and systemic chemotherapy may result in a good prognosis for patients with non-muscle-invasive bladder cancer.
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KEYWORD
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Indirect fluorescent antibody technique, Solitary pulmonary nodule, Urinary bladder neoplasms
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