World J Nephrol Urol

World Journal of Nephrology and Urology, ISSN 1927-1239 print, 1927-1247 online, Open Access

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Case Report

Volume 1, Number 4-5, October 2012, pages 121-124

Cutaneous Metastases From Transitional Cell Carcinoma of the Renal Pelvis: A Case Report

Figures

Figure 1. Computed tomography showed a mass around the left renal hilum and subcutaneous abdominal masses.

Figure 2. (a) The mass was 1.5 cm in diameter, yellowish-white, solid, and encapsulated; (b) Pathological findings showed a proliferation of atypical cells infiltrating the subcutaneous fat tissue in nests and cords throughout the dermis with no involvement of the overlying epidermis. (H&E staining, × 200); (c) Atypical cells were positive for CK7; (d) Atypical cells were positive for CK20.

Tables

**Table 1.** Case Reports of Cutaneous Metastases From Transitional Cell Carcinoma of the Renal Pelvis
Case	Author	Sex	Age	Initial Treatment	Adjuvant Therapy	Duration between surgery and skin metastases (month)
1	Ando et al	male	67	nephroureterectomy	chemotherapy	27
2	Chitale et al	male	68	nephroureterectomy	none	2
3	Zirwas et al	male	43	nephroureterectomy	none	48
4	Lin et al	female	68	nephroureterectomy	chemotherapy + radiation therapy	18
5	our case	female	73	none	none	0

**Table 2.** Case Reports of Cutaneous Metastases
Case	Appearance of skin metastasis	Distribution of skin metastases	Other metastatic regions	Treatment	Outcome	Follow-up (month)
1	zosteriform	left chest wall	left axillary LN	chemotherapy + radiation therapy	alive	10
2	unknown	back, abdomen, limbs	lung, brain	none	dead	1
3	vascular-appearing nodule	shoulder	sacroiliac area, lung	chemotherapy	unknown	unknown
4	nodular	arm, abdomen	local, liver, left kidney	none	dead	1
5	nodular	abdomen	none	chemotherapy	dead	3