International journal of surgery case reports · 2025
Psoas metastasis of urothelial carcinoma: A rare case.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ibrahimi Ahmed, Ouskri Salim, El Abidi Hamza, Boualaoui Imad, El Sayegh Hachem, Nouini Yassine
Аннотация
INTRODUCTION: Urothelial carcinoma (UC) is a common malignancy with a high propensity for metastasis, typically to the lungs, liver, bones, and lymph nodes. Metastasis to the psoas muscle is exceedingly rare and poorly documented.
CASE PRESENTATION: We report a 46-year-old chronic smoker with a history of muscle-invasive bladder UC treated with cystectomy and urinary diversion. After two years of lost follow-up, he presented with hematuria, lumbar pain, and a large left psoas tumor confirmed as recurrent UC. Surgical resection of the psoas and excretory tract tumor was performed, coupled with nutritional and rehabilitative support.
DISCUSSION: Psoas metastasis in UC represents a diagnostic and therapeutic challenge. A multimodal approach, including surgery, systemic therapy, and supportive care, can improve outcomes. Literature emphasizes poor prognosis in multifocal or visceral metastases, underscoring the aggressive nature of advanced UC.
CONCLUSION: This case highlights the importance of comprehensive imaging and multidisciplinary care in managing rare UC metastases. Further research is needed to refine treatment strategies and improve outcomes.
CASE PRESENTATION: We report a 46-year-old chronic smoker with a history of muscle-invasive bladder UC treated with cystectomy and urinary diversion. After two years of lost follow-up, he presented with hematuria, lumbar pain, and a large left psoas tumor confirmed as recurrent UC. Surgical resection of the psoas and excretory tract tumor was performed, coupled with nutritional and rehabilitative support.
DISCUSSION: Psoas metastasis in UC represents a diagnostic and therapeutic challenge. A multimodal approach, including surgery, systemic therapy, and supportive care, can improve outcomes. Literature emphasizes poor prognosis in multifocal or visceral metastases, underscoring the aggressive nature of advanced UC.
CONCLUSION: This case highlights the importance of comprehensive imaging and multidisciplinary care in managing rare UC metastases. Further research is needed to refine treatment strategies and improve outcomes.