If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password
If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password
Metastatic urothelial cancer usually spreads to regional lymph nodes and hematogenously
to liver, lung, bone, adrenal glands and intestine. Unusual sites of metastatic disease
have been reported to heart, brain, kidney, spleen, pancreas, meninges, uterus ovary
prostate and testes. Intraductal endoscopy has the promise of increasing the diagnostic
yield in both benign and malignant disease. Recent improvements in technology and
wider availability permits for accurate diagnosis of unusual cases. We present a case
where intraductal endoscopy allowed for targeted biopsies to diagnose metastatic urothelial
cancer to the left intrahepatic duct. A 73 year-old male with a history of a left
nephrectomy and ureter resection in 2010 was found to have dilated left intrahepatic
ducts and elevated liver function tests on a routine MRI for pre-operative planning.
He was asymptomatic without any nausea, vomiting, or abdominal pain. He presented
for ERCP. There was a filling defect noted in the left hepatic duct on cholangiogram.
Intraductal endoscopy was then utilized to visualize a frondular lesion within the
left intrahepatic duct. Targeted biopsies were obtained. Pathology demonstrated metastatic
high grade urothelial carcinoma consistent with metastatic carcinoma.
To read this article in full you will need to make a payment