Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder

被引：1

作者：

Ando, Takashi ^{[1
,4
]}

Morita, Shinichi ^{[2
]}

Naito, Makoto ^{[3
]}

机构：

[1] Dept Urol, Murakamishi, Japan

[2] JA Niigata Kouseiren Murakami Gen Hosp, Dept Gastroenterol, Midorimachi 5-8-1, Murakamishi, Niigata 9588533, Japan

[3] Niigata Med Ctr, Dept Pathol, Kobari 3-27-11,Nishi ku, Niigata 9502022, Japan

[4] JA Niigata Kouseiren Murakami Gen Hosp, Dept Urol, Midorimachi 5-8-1, Murakamishi, Niigata 9588533, Japan

来源：

UROLOGY CASE REPORTS | 2024年 / 52卷

关键词：

D O I：

10.1016/j.eucr.2023.102641

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Bladder cancer commonly metastasizes to the lymph nodes. Rectal obstruction (RO) caused by bladder cancer has been reported rarely, and its underlying mechanism remains unclear. Herein, we present an autopsy case of a 67-year-old man with RO caused by urothelial carcinoma (UC) with a micropapillary variant in the bladder. The autopsy showed high-grade UC infiltrating the rectum via the bladder's lateral pedicle, and widely spreading within the retroperitoneum due to lymphatic dissemination. Given that RO caused by bladder cancer is typically diagnosed after it has become a systemic disease, it is crucial to consider systemic treatment for the patient.

引用

页数：5

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