{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:31:41Z","timestamp":1788449501079,"version":"build-2803163510"},"reference-count":7,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,9]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>A 62-year-old male patient presented with multiple subcutaneous swellings over neck, axilla and scapular region for last 3\u2009months. Further evaluation revealed the presence of bladder mass, deranged kidney function tests with multiple rounded opacities in lung. The patient was stabilised with haemodialysis and bilateral percutaneous nephrostomy tube placement. The patient was planned for multiagent chemotherapy after stabilisation but died within 2\u2009weeks due to progressive disease. Fine needle aspiration cytology (FNAC) from the above-mentioned skin and lymph nodes swellings was suggestive of adenocarcinoma. We herein report this rare case of a metastatic adenocarcinoma of the bladder with extensive skin and visceral metastasis. The presence of skin metastasis confers a poor prognostic sign to the patient. They are usually resistant to available treatment modalities. To our knowledge, this is the first reported case of adenocarcinoma metastatic to skin and viscera.<\/jats:p>","DOI":"10.1136\/bcr-2018-227042","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"bcr-2018-227042","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Metastatic adenocarcinoma of bladder presenting with skin and visceral metastasis"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5198-8934","authenticated-orcid":false,"given":"Gaurav","family":"Garg","sequence":"first","affiliation":[{"name":"Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Sharma","sequence":"additional","affiliation":[{"name":"Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamika","family":"Sharma","sequence":"additional","affiliation":[{"name":"Intensive Care, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyanarayan","family":"Sankhwar","sequence":"additional","affiliation":[{"name":"Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,12,3]]},"reference":[{"key":"2025082703092012000_11.1.bcr-2018-227042.1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/0970-9371.130707","article-title":"Cutaneous metastasis of transitional cell carcinoma of the urinary bladder: cytological aspect","volume":"31","author":"Narayana","year":"2014","journal-title":"J Cytol"},{"key":"2025082703092012000_11.1.bcr-2018-227042.2","first-page":"67","article-title":"Bladder cancer that metastasized to the skin: a unique presentation that signifies poor prognosis","volume":"19","author":"Cohen","year":"2017","journal-title":"Rev Urol"},{"key":"2025082703092012000_11.1.bcr-2018-227042.3","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.82940"},{"key":"2025082703092012000_11.1.bcr-2018-227042.4","first-page":"97","article-title":"Metastatic transitional cell carcinoma of the urinary bladder to the shoulder girdle","volume":"4","author":"Weizer","year":"2002","journal-title":"Rev Urol"},{"key":"2025082703092012000_11.1.bcr-2018-227042.5","first-page":"362","article-title":"Unusual presentation of cutaneous metastasis from bladder urothelial carcinoma","volume":"25","author":"Chang","year":"2013","journal-title":"Chin J Cancer Res"},{"key":"2025082703092012000_11.1.bcr-2018-227042.6","first-page":"22","article-title":"Bladder urothelial cell carcinoma metastatic to the skin","volume":"1","author":"Campanati","year":"2013","journal-title":"Clin Dermatol"},{"key":"2025082703092012000_11.1.bcr-2018-227042.7","doi-asserted-by":"crossref","first-page":"846.e15","DOI":"10.1016\/j.urology.2005.10.045","article-title":"Cutaneous metastases from transitional cell carcinoma of the bladder","volume":"67","author":"Block","year":"2006","journal-title":"Urology"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-227042","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227042","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:09:31Z","timestamp":1756289371000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,3]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-227042"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227042","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}