Adenocarcinoma of sigmoid bladder augmentation
Authors:
Jan Schraml 1,2; Martina Chodacká 2; Marek Broul 1; Petra Hokůvová 1
Authors‘ workplace:
Klinika urologie a robotické chirurgie, Masarykova nemocnice, o. z., KZ, a. s., Univerzita Jana Evangelisty Purkyně, Ústí nad Labem
1; Uroonkologický tým Komplexního onkologického centra, Masarykova nemocnice, o. z., KZ, a. s., Ústí nad Labem
2
Published in:
Ces Urol 2018; 22(3): 197-202
Category:
Case report
Overview
The authors report a case of a woman who, at the age of 21 years, underwent bladder augmentation using a detubularized segment of the sigmoid colon for recurrent ulcerative cystitis. The treatment was successful, the patient has lived a normal full life, including an uneventful pregnancy with a natural vaginal delivery. The patient had had no urological complaints until 54 years old when she sought urologic care for recurrent lower urinary tract infections.
The examination revealed a tumour in the augmented part of the bladder. Although it was a poorly differentiated G3 adenocarcinoma, the tumour could be removed radically and the resected part replaced with a detubularized ileal graft. The patient is now, eight months after the procedure, completely free of complaints, with no recurrence, using clean intermittent catheterization with occasional spontaneous voiding, is continent, and under regular surveillance by a urologic oncology team.
The present case report illustrates the importance of regular and continuous surveillance of patients with a history of reconstructive urologic surgery using an intestinal graft.
KEY WORDS
Bladder augmentation, detubulative segment sigmatis, ulcerative cystitis, tumor-augmented bladder parts, adenocarcinoma, pure intermittent catheterization.
Sources
1. Hammer E. Cancer du colon sigmoide dix ans apres implantation des ureters d’une vessie extropiee. Journal of Urology 1929; 28: 260–263.
2. Leadbetter GW, Zickerman P, Pierce E. Ureterosigmoideostomy and carcinoma of the colon. J Urol 1979; 121: 732–735.
3. Leedham PW, England HR. Adenocacrinoma developing in an ileocystoplasty. Br J Urol 1973; 60: 158–160.
4. Moorcraft J, DuBoulay CEH, Isaacson P, et al. Change in the mucosa of colon conduits with particular reference to the risk of malignat change. J Urol 1983; 55: 185–188.
5. Kirby RS, Loyd‑Davis RW. Adenocacronima occuring within a cococystoplasty l 2013. British journal of urology 1985; 57.3: 357-358.
6. Austen M, Kalble T. Secondary malignancies in different forms of urinary diversion using isolated gut. J Urol 2004; 172: 831–838.
7. Lavelle J, Shenot P, Smith C, Chancellor MB. Re: secondary malignancies in different forms of urinary diversion using isolated gut. J Urol 2005; 173: 1831, author reply 1832.
8. Kälble T, Hofmann I, Riedmiller H, Vergho D. Tumor growth in urinary diversion: a multicenter analysis. Eur Urol 2011; 60: 1081–1086.
9. Bell MA, Wright EJ, Fang SH, Johnson MH, Sopko NA. Management of advanced adenocarcinoma in Indiana Pouch urinary diversion. Urol Case Rep. 2018; 17: 53–55.
10. Sherman B, Taylor F. Adenocarcinoma in a Koff urinary ileal diversion. Urol Case Rep. 2017; 13: 126–127.
11. Honeck P, Kienle P, Huck N, Neisius A, Thüroff J, Stein R. Adenocarcinoma in continent anal urinary diversion: is sigma rektum pouch surgical option after failed ureteroileostomy? Urology 2017; 103: 209–213.
12. Skalka R, Kočvara R, Dítě Z, Dvořáček J, Hanuš T. Srovnání dlouhodobých výsledků u pacientů po augmentaci močového měchýře ileálním a gastrickým segmentem. Ces Urol 2013; 17(2): 109–117.
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2018 Issue 3
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