CTICasesMetastatic urothelial carcinoma
Imaging findings
Chest CT in a 45-year-old man with a history of low-grade bladder cancer shows a large, solitary anterior mediastinal mass invading the chest wall, associated with multiple regional mediastinal lymph nodes, without any other systemic disease. Biopsy confirmed metastatic urothelial carcinoma.
Key takeaways
Solitary anterior mediastinal metastases from urothelial carcinoma are extremely rare, particularly in the setting of low-grade primary bladder cancer. They can mimic primary mediastinal tumors such as thymoma, lymphoma, or germ cell tumors, emphasizing the pitfall of assuming a new mediastinal mass represents a secondary primary neoplasm.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Sarcomatoid mesotheliomaNeoplastic
- Fibrosing mediastinitisInfection
- Organizing pneumoniaInflammatory
- Meandering pulmonary veinCongenital
- Saphenous vein graft aneurysmVascular
- Bronchogenic cystCongenital
- Panlobular emphysemaExposure
- Pulmonary tuberculosisInfection
See all cases from August 23, 2018 →
Related Neoplastic cases
- Pleural and Nodal Large B-Cell Lymphoma
- Pericardial and Mediastinal Soft Tissue Mass (Probable Lymphoma vs. Inflammatory Pseudotumor)
- Cardiac (Myocardial) B-Cell Lymphoma Mimicking Hypertrophic Cardiomyopathy
- Endobronchial Mucous Gland Adenoma with Obstructive Atelectasis and Pneumothorax Ex Vacuo
- Extraosseous (Extramedullary) Myeloma / Plasmacytoma
- Calcified Carcinoid Tumor