Abstract
We present a case of gluteal muscular and sciatic nerve metastases from urinary bladder carcinoma. T2-weighted magnetic resonance images demonstrated diffuse swelling and an increase in the signal of the right gluteus maximus muscle without destruction of the original arrangement of muscular fibers. Further, remarkable thickening of the right sciatic nerve showing a relatively hypointense signal was detected. Postcontrast T1-weighted images showed strong enhancement of these structures. Fine-needle aspiration biopsy with ultrasonographic guidance confirmed metastatic carcinoma cells in the right gluteal muscle and the sciatic nerve. These radiologic findings may represent a rare pattern of metastasis from urinary bladder carcinoma.
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References
Dunnick NR, Snadler CM, Amis ES Jr, et al. (1997) The urinary bladder. In: Textbook of uroradiology, 2nd ed. Baltimore: Williams & Wilkins, 396–439
N Honda Y Yamada K Mitsui et al. (1999) ArticleTitleClinical study on recurrence in bladder cancer patients undergoing total cystectomy-statistical analysis of factors related to recurrence. Acta Urol Jpn 45 317–324 Occurrence Handle1:STN:280:DyaK1MzjvVGjsA%3D%3D
RS Anderson AM el-Mahdi DA Kuban et al. (1992) ArticleTitleBrain metastases from transitional cell carcinoma of urinary bladder. Urology 39 17–20 Occurrence Handle10.1016/0090-4295(92)90034-T Occurrence Handle1:STN:280:By2C3c7jtlw%3D Occurrence Handle1728790
LM Alvarez Castelo C Garcia Freire J Rodrigues-Rivera Garcia et al. (1995) ArticleTitleSkin metastasis from transitional cell carcinoma of the bladder. Arch Esp Urol 48 749–750 Occurrence Handle1:STN:280:BymD3critVI%3D Occurrence Handle7487184
OA Garcia EG Fernandez SL Buelta et al. (1984) ArticleTitleMetastasis of malignant neoplasms to skeletal muscle. Rev Esp Oncol 31 57–67 Occurrence Handle6545428
CM Pearson (1959) ArticleTitleIncidence and type of pathologic alterations observed in muscle in a routine autopsy survey. Neurology 9 757–766 Occurrence Handle1:STN:280:CC%2BC1czps1A%3D Occurrence Handle14431247
Y Suto Y Yamaguchi S Sugihara (1997) ArticleTitleSkeletal muscle metastasis from lung carcinoma: MR findings. J Comput Assist Tomogr 21 304–305 Occurrence Handle10.1097/00004728-199703000-00027 Occurrence Handle1:STN:280:ByiB38vptlc%3D Occurrence Handle9071306
S Okada T Amano T Kumazaki et al. (1996) ArticleTitleSkeletal muscle metastasis [in Japanese]. Jpn J Clin Radiol 41 237–242
J Nakada S Onodera T Shirai et al. (1994) ArticleTitleA case of muscle metastasis of renal cell carcinoma treated by local resection and tensor fascia lata myocutaneous flaps [in Japanese]. Hinyokika Kiyo 40 1013–1016 Occurrence Handle1:STN:280:ByqC3szks1A%3D Occurrence Handle7832073
K Araki M Kobayashi T Ogata et al. (1994) ArticleTitleColorectal carcinoma metastatic to skeletal muscle. Hepatogastroenterology 41 405–408 Occurrence Handle1:STN:280:ByqC2MvnslI%3D Occurrence Handle7851845
ES Pretorius EK Fishman (2000) ArticleTitleHelical CT of skeletal muscle metastases from primary carcinomas. AJR 174 401–404 Occurrence Handle1:STN:280:DC%2BD3c7itFyjsw%3D%3D Occurrence Handle10658714
SR Shultz RL Bree RE Schwab et al. (1986) ArticleTitleCT detection of skeletal muscle metastases. J Comput Assist Tomogr 10 81–83 Occurrence Handle3944324
Dahnert W. Ear, nose, and throat. In: Radiology review manual, 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2002:349–498
J Leissner C Koeppen HK Wolf (2003) ArticleTitlePrognostic significance of vascular and perineural invasion in urothelial bladder cancer treated with radical cystectomy. J Urol 169 955–960 Occurrence Handle10.1097/01.ju.0000043639.55877.17 Occurrence Handle12576821
L Weiss (1989) ArticleTitleBiomechanical destruction of cancer cells in skeletal muscle: a rate-regulator for hematogenous metastasis. Clin Exp Metastasis 7 483–491 Occurrence Handle1:STN:280:BiaA38vksVM%3D Occurrence Handle2752602
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Nagao, E., Nishie, A., Yoshimitsu, K. et al. Gluteal muscular and sciatic nerve metastases in advanced urinary bladder carcinoma: . Abdom Imaging 29, 619–622 (2004). https://doi.org/10.1007/s00261-003-0154-3
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DOI: https://doi.org/10.1007/s00261-003-0154-3