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Renal cell carcinoma can metastasize to virtually any organ, yet
synchronous metastasis to the bladder is extremely rare. A 77-year-old woman
presented with gross hematuria. Abdominal and chest computed tomography showed
a bilateral renal masses, bladder dome mass, and multiple lung metastasis.
Transurethral resection of the bladder tumor and sonography guided renal biopsy were performed. Both
pathology diagnoses were clear cell renal cell carcinoma. Targeted therapy using
pazopanib was administered to the patient without surgical resection of
primary tumors and metastatic lung lesions. Herein, we report the synchronous metastasis
of renal cell carcinoma to the bladder and lung.