A patient is admitted with hematuria. The patient is a long-time cigarette smoker. A diagnostic cystoscope is performed with complete 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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