Gastrik Primeri Olan Mesane Yüzük Hücreli Adenokarsinom: Olgu Sunumu

Primer mesane tümörleri sık görülen ürolojik kanserlerdir. Uzak bir organ kaynaklı metastatik mesane tümörleri ise oldukça nadirdir. Metastatik mesane tümörleri tüm mesane tümörlerinin % 2’sinden az görülür ve genellikle melanom, meme kanseri, gastrik kanser kaynaklıdır. Yüzük hücreli mesane kanseri oldukça nadir görülür ve tüm mesane kanserlerinin yaklaşık % 2,4’ünü oluşturur. Biz bu yazımızda 2 yıl önce primer mide kanseri nedeniyle total gastrektomi ve sol pnömonektomi operasyonları geçiren 68 yaşındaki bir hastayı sunduk. Hastamızda, rutin kontroller sırasında, ultrasonografi ve Bilgisayarlı Tomografi BT tetkiklerinde bilateral grade 1-2 hidronefroz ile birlikte mesane duvar kalınlaşması tespit edildi. Mesane tümörü tespit edilip transüretral rezeksiyon yapıldı. Histopatolojik değerlendirme sonucu yüzük hücreli mesane adenokarsinomu geldi.

Signet-Ring Cell Adenocarcinoma Of Urinary Bladder Having Primary Gastric Origine: Case Report

Primary bladder tumor is a frequent urological malignancy, whereas the incidence of metastatic bladder tumor from a distant organ is quite rare. Metastatic bladder tumors are responsible for less than 2 % of all bladder tumors and originate most commonly from a melanoma, breast cancer, and gastric cancer. Signet ring cell cancer is a rare type of bladder malignancy, accounting for approximately 0,24% of all urinary bladder malignancy. We report a case of a 68 years-old woman who underwent total gastrectomy and left pneumonectomy 2 years ago. On routine control, thickening of bladder wall with bilateral grade 1-2 hydronephrosis was detected on ultrasonography and computerized tomography scan. A bladder tumor was detected and resected with transuretral resection. The histopathological examination revealed secondary Signet ring cell adenocarcinoma of the urinary bladder.

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