Inguinal lymph node metastasis of bladder carcinoma after radical cystectomy: A case report and review of literature

Mohamad Moussa; Mohamed Abou Chakra; Athanasios Papatsoris; Athanasios Dellis; Wajih Saad; Nazih Bou Chahine

doi:10.1016/j.ijscr.2020.09.068

Inguinal lymph node metastasis of bladder carcinoma after radical cystectomy: A case report and review of literature

Int J Surg Case Rep. 2020:75:385-389. doi: 10.1016/j.ijscr.2020.09.068. Epub 2020 Sep 21.

Authors

Mohamad Moussa¹, Mohamed Abou Chakra², Athanasios Papatsoris³, Athanasios Dellis⁴, Wajih Saad⁵, Nazih Bou Chahine⁶

Affiliations

¹ Head of Urology Department, Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon. Electronic address: mohamadamoussa@hotmail.com.
² Faculty of Medicine, Department of Urology, Lebanese University, Beirut, Lebanon. Electronic address: mohamedabouchakra@hotmail.com.
³ 2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: agpapatsoris@yahoo.gr.
⁴ Department of Urology/General Surgery, Areteion Hospital, Athens, Greece. Electronic address: aedellis@gmail.com.
⁵ Head of Oncology Department, Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon. Electronic address: Saad-wajih@hotmail.com.
⁶ Department of Vascular Surgery, Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon. Electronic address: nbouchah@ul.edu.lb.

Abstract

Introduction: Lymph node metastasis in bladder cancer (BC) is common and has been associated with a very poor prognosis. Bc rarely metastasizes to inguinal lymph nodes.

Presentation of case: We reported an unusual case of right inguinal lymph node metastasis of transitional cell carcinoma of the bladder. Metastasis occurred 9 months after radical cystectomy for BC. The patient refused chemotherapy and underwent only surgical excision of lymph nodes without any adjuvant therapy. During a follow-up period of 3 years, the patient still having complete remission.

Discussion: Multiple studies showed an improved clinical outcome with adjuvant chemotherapy for pathological node-positive patients with BC. Long-term survival could be achieved for some patients with limited lymph node metastasis who underwent metastasectomy. Some studies supported the benefit of surgical consolidation after a good response to systemic chemotherapy. The best management plan for clinically node-positive BC is not established yet.

Conclusion: There is little evidence on which to base the management of inguinal lymph node metastasis from BC. Metastasectomy could be an option with good outcomes.

Keywords: Bladder cancer; Case report; Inguinal lymph node; Metastasis.

Publication types

Case Reports