The present paper describes two cases of suspected urothelial carcinomas with local lymphatic metastases,and distant metastases in the lungs. In one case, liver metastases were also present. Both cases are documentedwith an extensive clinical report, using bloodwork, rectal examination, ultrasonography, cytology of abdominalfluid and, in one case, also urine analysis, radiography and transrectal biopsy to come to a diagnosis ofabdominal malignancy. Subsequently, the post-mortem exam, histopathology and immunohistochemistry aredescribed and illustrated.