Esophageal adenocarcinoma with metastasis to the prostatic urethra and bladder

Metastatic esophageal adenocarcinoma to the urinary bladder is extremely rare and aggressive.We discuss here the case of an 83-year-old male with history of esophageal adenocarcinoma treated Football - Protective - Shoulder Pads with chemoradiation therapy and esophagectomy who presented with gross hematuria and lower urinary tract symptoms.Pathology of the bladder tumor after transurethral resection demonstrated Nee Doh invasive adenocarcinoma of both the bladder and the prostatic urethra consistent with metastatic esophageal adenocarcinoma.