Since Kretschmer1 reported the first English language case, the rareness of metastatic cutaneous bladder carcinoma has been well documented. McDonald et al2 found only two cases of cutaneous metastases in 1,114 cases of primary bladder carcinoma. In their extensive review of metastatic carcinoma in the skin, Brownstein and Helwig3 did not mention such a case. We describe a patient who had several features typical of this disorder.
Report of a Case
A 76-year-old woman was admitted to St Luke's-Roosevelt Hospital, New York, with painful erythematous nodules of six weeks' duration on her abdomen and thighs. Painless macroscopic hematuria had developed 16 months prior to admission to the hospital. At that time, aFig 1.—Photomicrograph showing transitional cell bladder cancer with densely packed malignant cells (hematoxylineosin, X240).Fig 2.—Close-up view of patient's eruption showing discrete papules on erythematous base.Fig 3.—Microscopic appearance of skin biopsy specimen disclosing tumor strands of