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Case Reports in Pulmonology
Volume 2013 (2013), Article ID 831871, 4 pages
http://dx.doi.org/10.1155/2013/831871
Case Report

Metastatic Bladder Cancer Presenting with Persistent Hematuria in Young Man with Cystic Fibrosis

1Department of Medicine, The University of Calgary, Calgary, AB, Canada T2N 4N1
2Department of Microbiology and Infectious Diseases, The University of Calgary, Calgary, AB, Canada T2N 4N1
3Department of Oncology, The University of Calgary, Calgary, AB, Canada T2N 4N1
43330 Hospital Drive NW, Health Sciences Center, The University of Calgary, Calgary, AB, Canada T2N 4N1

Received 11 March 2013; Accepted 15 April 2013

Academic Editors: D. Franzen, E. Gabbay, and K. M. Nugent

Copyright © 2013 Premal Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of metastatic bladder cancer developing in a young man with cystic fibrosis (CF) that was initially diagnosed as ureterolithiasis and managed as renal colic. With the improved survival of patients with CF, an increasing burden of extrapulmonary disease manifestations is apparent. Renal colic is observed at an increased frequency in patients with CF relative to the general population and is a commonly recognized cause of hematuria. However, CF patients harboring a malignancy are recognized to be at increased risk of delayed identification owing to atypical symptoms and lack of demographic risk factors. This case illustrates how investigations to rule out malignancy are warranted in those CF patients not responding to therapies directed towards presumptive diagnoses.