The objective of this work is to verify the incidence of incidental prostate adenocarcinoma in patients who underwent radical cystoprostatectomy for invasive bladder carcinoma. We have retrospectively reviewed patients who underwent radical cystoprostatectomy for infiltrative bladder tumors in period between 2003 and 2007 year, 94 men with bladder cancer underwent radical cystoprostatectomy at Urology Clinic-University of Sarajevo Clinics Centre. Mean age of patients was 67 years, with age limits ranging between 48 and 79 years. Pathohistological evaluation was used for all specimens from RCP. We found that 9,57% of cystoprostatectomy specimens in patients with bladder cancer also contained incidental prostate cancer. This result was much lower than overall mean frequency of incidentally detected prostate cancer in other series of cystoprostatectomy cases (range, 23%-68%). In conclusion we recommended digital rectal examination (DRE) and prostate-specific antigen (PSA) test as part of the bladder cancer work up and complete removal of the prostate at cystoprostatectomy to prevent residual prostate cancer.

Adenoid cystic carcinoma (ACC) of the breast is a rare histologic type of breast cancer usually associated with a good prognosis. According to the data from the English literature only one case with metastasis to the kidney was previously described. A 76-year-old female patient presented with painless hematuria. Clinical examination showed a mass in the right kidney. Nephrectomy was performed. We received kidney with a multinodular tumor measuring up to 6 cm. Renal capsule, blood vessels and pyelon were not affected. Pathohistological analysis revealed mucinous, tubular tumor suggesting adenoid cystic carcinoma similar to those originating from salivary glands. Further examination disclosed that the patient underwent the surgery five years earlier due to breast tumor that was diagnosed as adenoid cystic carcinoma. Additional examination by immunohistochemistry was consistent with the diagnosis of ACC. Metastatic tumors to the kidney are very rare, especially symptomatic ones. However, one should always consider such possibility in the differential diagnosis of unusual and unclassified renal tumors.