A patient is admitted with hematuria.The patient is a long-time cigarette smoker.A diagnostic cystoscope is performed with excision of a bladder dome lesion.The pathology report reveals transitional cell bladder carcinoma.A metastatic workup is performed with high suspicion for bone lesion.Smoking cessation advised for nicotine dependence.Discharge Diagnosis: Bladder cancer with metastasis to the bone.__________
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