A Rare Case of Synchronous Renal Cell Carcinoma of the Bladder Presenting with Gross Hematuria

• Published in: Rare tumors Vol. 5; no. 2; pp. 72 - 74
• Main Authors: Kruck, Stephan, Scharpf, Marcus, Stenzl, Arnulf, Bedke, Jens
• Format: Journal Article
• Language: English
• Published: England PAGEPress Publications 07.05.2013; SAGE Publishing
• Subjects: Case Report; renal cell cancer, bladder metastasis, transurethral resection, hematuria; hematuria; renal cell cancer; bladder metastasis; transurethral resection
• ISSN: 2036-3613; 2036-3605; 2036-3613
• DOI: 10.4081/rt.2013.e19

A 57-year old man was referred to the Urology Department due to gross hematuria; abdominal ultrasound revealed an unspecific solid tumor of the left bladder wall. Ultrasound, transurethral resection of the bladder mass with subsequent histological analysis, thoracic and abdominal computed tomography-scan and brain magnetic resonance imaging were performed. He was diagnosed with a bladder metastasis of clear cell renal cell carcinoma (RCC) with concomitant bone, pulmonary, and cerebral metastatic disease of a primary RCC of the right kidney. Management: Transurethral resection of the bladder mass, cerebral and bone radiotherapy, removal of the primary tumor, targeted systemic therapy with mTOR followed by tyrosine kinase inhibition.