Case Report

Metastasis of Gastric Signet-Ring Cell Carcinoma to the Urinary Bladder: A Case Report and Review of the Literature

Table 1

Cases of bladder metastasis secondary to gastric cancer in the literature.

Author/yearNumber of patientsAgeGenderHistology/İHCInterval between primary gastric tumor and bladder metastasis Distant metastatic sites at the time of diagnosisMacroscopic features of bladder metastasisUrinary symptomsPresence of hydronephrosisTreatment of bladder metastasisPrognosis

Saba et al. [8] (1997)152MSRCC/no7 yearsPeritoneum, pleura, lymph nodesProtuberant massHematuriaNoNo treatmentDied

Ota et al. [9] (1999)157FAdenoca/no2 yearsNo distant metastasisDiffuse wall thickeningIncontinenceYesChemotherapyAlive after 12-month follow-up

Kim et al. [10] (2001) 360MAdenoca/no1 yearNo distant metastasisProtuberant massDysuria, sense of residual urineNRNRNR
57FSRCC/no15 monthsNo distant metastasisDiffuse wall thickeningDysuria, frequencyNRNRNR
42MSRCC/no2 yearsNo distant metastasisDiffuse wall thickeningDysuriaNRTotal cystectomyNR

Antunes et al. [11] (2004)163FSRCC/no21 monthsPeritoneumDiffuse wall thickeningDysuria, lumbar painYesNo treatmentAlive after 8-month follow-up

Matsuhashi et al. [12] (2005)190FAdenoca/noSynchronous metastasisNo distant metastasisProtuberant mass (in a bladder diverticulum)HematuriaNo No treatmentDied 3 months after the diagnosis

Farhat et al. [13] (2007)158MAdenoca/no15 monthsNo distant metastasisProtuberant massHematuriaNoTURNR

Lim et al. [14] (2011)151MAdenoca/no2 yearsPeritoneum, boneProtuberant massHematuriaYesPartial cystectomyDied 7 months after the surgery

Sharma et al. [15] (2011)130MSRCC/no2 yearsNo distant metastasisProtuberant massHematuriaNoTUR, chemotherapyAlive 5 months after the chemotherapy

Neves et al. [16] (2011) 262FSRCC/yesSynchronous metastasisPeritoneum, ovary (Krukenberg)Diffuse wall thickeningDysuria, infrequency, lumbar painYesNo treatmentDied
41MSRCC/noSynchronous metastasisNo distant metastasisProtuberant massHematuriaNoPartial cystectomyDied

András et al. [17] (2013)159MAdenoca/yes10 yearsNo distant metastasisProtuberant massHypogastric painNoTUR, chemotherapyNR

Vigliar et al. [18] (2013)138MSRCC/yes7 monthsPeritoneum, pleura, lymph nodesProtuberant massHematuriaYesNo treatmentDied 2 months after the diagnosis

Kalra et al. [19] (2015)160MSRCC/yesSynchronous metastasisPeritoneumDiffuse wall thickeningLUTSYesChemotherapyAlive (follow-up NR)

Present case148MSRCC/yesSynchronous metastasisPeritoneum, lymph nodesDiffuse wall thickeningHematuriaYesChemotherapyAlive 5 months after the diagnosis

M, male; F, female; İHC, immunohistochemical studies; SRCC, signet-ring cell carcinoma; Adenoca, adenocarcinoma; LUTS, lower urinary tract symptoms; TUR, transurethral resection; NR, not reported.