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[Case of rapidly progressed pulmonary metastases of superficial bladder cancer].

The patient was a 95-year-old-man admitted to the urological section of our hospital because of hematuria. Transurethral resection of the bladder tumor (TUR-Bt) was performed. This tumor was diagnosed pathologically as bladder cancer (transitional cell carcinoma Grade 3 pT1). After 8 months, local reccurence was seen and TUR-Bt was performed. (pTa). After 1 month, his chest radiograph and computed tomogram showed a mass shadow in the left upper lung field. Cystoscopy did not reveal a local reccurence. The patient's condition worsened, and he died of respiratory failure after about 1 month. At autopsy, pathologic studies of the lung tumor revealed transitional cell carcinoma, and local recurrence was not seen. We report a rare case of pulmonary metastases from superficial bladder cancer without local reccurence.