Intestinal adenocarcinoma in an augmented ileocystoplasty. Lopes FA, Rolim N, Rodrigues T, Canhoto A. Department of Urology, Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal. We present a case of a 67-year-old patient with a history of augmentation ileocystoplasty 31 years ago following genitourinary tuberculosis. Radiological investigations performed due to asymptomatic microscopic haematuria revealed three contrast-enhancing polyps within the neobladder. The patient had enterocystoprostatectomy and histopathological examination of the neobladder revealed mucinous adenocarcinoma in all three polyps, together with a prostatic adenocarcinoma Gleason 7 (3+4). After adjuvant chemotherapy and 1 year of follow-up, he had no sign of clinical or radiological recurrence. Taking into consideration this rare case, we discuss the development of malignant tumours after the incorporation of intestinal segments in a urinary tract reconstruction, showing what relationship exists between secondary neoplastic growth, the primary disease and the type of urinary diversion utilised.
Posted on: Tue, 06 Aug 2013 09:13:46 +0000
Trending Topics
Recently Viewed Topics
© 2015