A Rare Case of Chin Cutaneous Metastases from Transitional Cell Carcinoma of Bladder in a Patient Who Underwent Radical Cystectomy

Facial cutaneous metastases from primary bladder cancers are very rare and usually they are associated with poor prognosis. In literature, very few cases of cutaneous metastases from urothelial malignancies are reported but we did not find any case of bladder cancer metastases localised to chin; usually cutaneous metastases from bladder are localised in chest or scrotal skin. We report a 66 year-old patient affected by muscle-invasive transitional cell carcinoma of bladder who underwent radical cystectomy and who developed in two months after operation a skin lesion localised to chin. Clinical stage of bladder cancer was cT2 N0 M0; the patient was studied before operation through total body CT-scan, TB bone-scan negative for metastases. The patient was totally asymptomatic and he had a good performance status. We discuss the need to have suspicion in presence of cutaneous lesions, apparently benign, in a patient affected by malignancy in order to start quickly a proper treatment.