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首页> 外文期刊>Italian Journal of Medicine >Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report
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Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report

机译：选择性双侧internal内动脉栓塞术治疗膀胱转移性鳞状细胞癌引起的难治性血尿：一例

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摘要

Bladder squamous cell carcinoma (SCC) may lead to gross hematuria. However, the metastasis of head and neck cutaneous SCC to the urinary bladder has not been described in literature. Nowadays, noninvasive methods such as embolization, are considered as an appropriate choice for controlling life-threatening hematuria in patients with high operative risk. However, few reports exist on the effectiveness of this approach in managing the hematuria secondary to metastatic bladder SCC. Here we report a case of bladder SCC originating from the forehead cutaneous SCC. An 83-year-old man, a known case of forehead cutaneous SCC with distant metastasis, referred to our clinic with a chief complaint of hematuria. Pathology confirmed the diagnosis of metastatic urinary bladder SCC. Angiography and embolization were undertaken and resulted in complete alleviation of the symptoms. The recurrence of hematuria or embolization-related complications were not observed during 3-month follow-up. Selective embolization of the bilateral internal iliac artery is a safe and efficient procedure for controlling severe hematuria in patients with primary or metastatic bladder SCC.
机译：膀胱鳞状细胞癌（SCC）可能导致严重血尿。然而，文献中没有描述头颈部皮肤SCC向膀胱的转移。如今，非侵入性的方法，如栓塞，被认为是高的患者手术风险控制危及生命的血尿一个合适的选择。但是，关于这种方法在处理继发于膀胱癌的继发性血尿中的有效性的报道很少。在这里，我们报告一例来自额头皮肤SCC的膀胱SCC。一名83岁的男性，前额皮肤SCC的已知病例，有远处转移，他以血尿为主诉转诊至我们的诊所。病理证实了转移性膀胱癌的诊断。进行了血管造影和栓塞术，从而完全缓解了症状。在3个月的随访中未观察到血尿复发或栓塞相关并发症。双侧bilateral内动脉的选择性栓塞术是控制原发性或转移性膀胱SCC患者严重血尿的安全有效方法。

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