Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?

Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?

Introduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carci...

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Main Authors: Azka Ali, William P. Skelton IV, Neeka N. Akhavan, Thu-Cuc Nguyen, Zachary A. Taylor, Tabitha Townsend, Prajwol Pathak, Nalini Hasija, Li Li, Jacqueline Indrisek, Scott Watson, Isis Nixon, Nam H. Dang, Robert Zlotecki, Paul Crispen, Robert Allan, Patricia Abbitt, Long H. Dang
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2016/8125898
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spelling doaj-212f60c796864eae96a7970f36de79a92020-11-24T22:21:02ZengHindawi LimitedCase Reports in Oncological Medicine2090-67062090-67142016-01-01201610.1155/2016/81258988125898Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?Azka Ali0William P. Skelton IV1Neeka N. Akhavan2Thu-Cuc Nguyen3Zachary A. Taylor4Tabitha Townsend5Prajwol Pathak6Nalini Hasija7Li Li8Jacqueline Indrisek9Scott Watson10Isis Nixon11Nam H. Dang12Robert Zlotecki13Paul Crispen14Robert Allan15Patricia Abbitt16Long H. Dang17Department of Internal Medicine, University of Florida, Gainesville, FL, USADepartment of Internal Medicine, University of Florida, Gainesville, FL, USADepartment of Internal Medicine, University of Florida, Gainesville, FL, USADepartment of Internal Medicine, University of Central Florida, Orlando, FL, USADepartment of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USADepartment of Radiation Oncology, University of Florida, Gainesville, FL, USADepartment of Urology, University of Florida, Gainesville, FL, USADepartment of Pathology, University of Florida, Gainesville, FL, USADepartment of Radiology, University of Florida, Gainesville, FL, USADivision of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USAIntroduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carcinoma of the bladder to regional pelvic and retroperitoneal lymph nodes. He underwent systemic chemotherapy for treatment of urothelial carcinoma and was discovered on restaging to have findings suggestive of disease progression but ultimately was found to have a concurrent secondary malignancy. Conclusion. Our case suggests that in patients with urothelial carcinoma, the concurrent presentation of regional lymphadenopathy may not be metastatic urothelial carcinoma and may warrant further investigation.http://dx.doi.org/10.1155/2016/8125898
collection DOAJ
language English
format Article
sources DOAJ
author Azka Ali
William P. Skelton IV
Neeka N. Akhavan
Thu-Cuc Nguyen
Zachary A. Taylor
Tabitha Townsend
Prajwol Pathak
Nalini Hasija
Li Li
Jacqueline Indrisek
Scott Watson
Isis Nixon
Nam H. Dang
Robert Zlotecki
Paul Crispen
Robert Allan
Patricia Abbitt
Long H. Dang
spellingShingle Azka Ali
William P. Skelton IV
Neeka N. Akhavan
Thu-Cuc Nguyen
Zachary A. Taylor
Tabitha Townsend
Prajwol Pathak
Nalini Hasija
Li Li
Jacqueline Indrisek
Scott Watson
Isis Nixon
Nam H. Dang
Robert Zlotecki
Paul Crispen
Robert Allan
Patricia Abbitt
Long H. Dang
Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
Case Reports in Oncological Medicine
author_facet Azka Ali
William P. Skelton IV
Neeka N. Akhavan
Thu-Cuc Nguyen
Zachary A. Taylor
Tabitha Townsend
Prajwol Pathak
Nalini Hasija
Li Li
Jacqueline Indrisek
Scott Watson
Isis Nixon
Nam H. Dang
Robert Zlotecki
Paul Crispen
Robert Allan
Patricia Abbitt
Long H. Dang
author_sort Azka Ali
title Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
title_short Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
title_full Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
title_fullStr Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
title_full_unstemmed Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?
title_sort low grade lymphoma mimicking metastatic urothelial carcinoma: when do we need further histologic staging?
publisher Hindawi Limited
series Case Reports in Oncological Medicine
issn 2090-6706
2090-6714
publishDate 2016-01-01
description Introduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carcinoma of the bladder to regional pelvic and retroperitoneal lymph nodes. He underwent systemic chemotherapy for treatment of urothelial carcinoma and was discovered on restaging to have findings suggestive of disease progression but ultimately was found to have a concurrent secondary malignancy. Conclusion. Our case suggests that in patients with urothelial carcinoma, the concurrent presentation of regional lymphadenopathy may not be metastatic urothelial carcinoma and may warrant further investigation.
url http://dx.doi.org/10.1155/2016/8125898
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