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Int Neurourol J > Volume 14(2); 2010 > Article
International Neurourology Journal 2010;14(2): 130-132.
DOI: https://doi.org/10.5213/inj.2010.14.2.130   
A Case of Bladder Cancer Found during a Workup for Urge Incontinence.
Yun Seob Song, Kyu Hyung Cho, Keun Woo Kim, Jong Hyun Yoon, Seung Hwan Doo, Won Jae Yang, Joo Young Cho, Dong Wha Lee
1Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea. yssong@hosp.sch.ac.kr
2Department of Gastroenterology, Soonchunhyang University College of Medicine, Seoul, Korea.
3Department of Pathology, Soonchunhyang University College of Medicine, Seoul, Korea.
ABSTRACT
Irritative urinary symptoms may suggest the possibility of bladder cancer. We report a case of metastatic bladder cancer that was discovered during a workup for urge incontinence in a 65-year-old woman with a history of stomach cancer. She had a medical history of gastrectomy due to stomach cancer 4 years previously. The patient complained of urgency unresponsive to anticholinergic therapy. Cystoscopy revealed the presence of suspicious bladder mucosal lesions that were biopsied. The pathology was consistent with metastatic signet-ring cell adenocarcinoma. This case suggests that irritative urinary symptoms can be the first clinical manifestation in patients with bladder cancer.
Keywords: Urge incontinence; Bladder cancer; Stomach cancer
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