Lymph node involvement in bladder cancer (BC) is common and has prognostic implications. Metastasis to the inguinal lymph nodes (LN) is a rare event in BC. The extent of the lymph node dissection and lymph node involvement during radical cystectomy is the most powerful prognostic factors associated with poor oncological outcome.1 We reported an unusual case of right inguinal lymph node metastasis of transitional cell carcinoma of the bladder. Metastasis occurred nine months after radical cystectomy. The patient refused chemotherapy and underwent only surgical excision of lymph nodes without any adjuvant therapy. During the follow-up, the patient still remained in complete remission.2
