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Case Rep Oncol Med. 2016;2016:8125898. Epub 2016 Nov 22.

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

Author information

1
Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
2
Department of Internal Medicine, University of Central Florida, Orlando, FL, USA.
3
Division of Hematology and Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
4
Department of Radiation Oncology, University of Florida, Gainesville, FL, USA.
5
Department of Urology, University of Florida, Gainesville, FL, USA.
6
Department of Pathology, University of Florida, Gainesville, FL, USA.
7
Department of Radiology, University of Florida, Gainesville, FL, USA.

Abstract

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.

Conflict of interest statement

The authors declare that there is no conflict of interests regarding the publication of this paper.

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