Urothelial carcinoma recurrence in ileal orthotopic neobladder: Urethrectomy and creation of ileal conduit

被引:6
|
作者
Moore, Christopher D.
Iczkowski, Kenneth A.
Blue, Kenneth M.
Algood, Chester B.
机构
[1] Univ Florida, Coll Med, Dept Urol, Gainesville, FL 32610 USA
[2] Univ Florida, Coll Med, Dept Pathol Immunol & Lab Med, Gainesville, FL 32610 USA
[3] Vet Affairs Med Ctr, Dept Pathol & Lab Med, Gainesville, FL 32608 USA
关键词
D O I
10.1016/j.urology.2006.10.013
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
A patient who had previously undergone radical cystoprostatectomy and ileal neobladder with the Studer technique presented with a recurrence of urothelial carcinoma in. the neobladder and urethra. Surgical treatment consisted of resection of the neobladder, urethrectomy, and creation of an ileal conduit using a separately isolated segment of ileum. Pathologic analysis revealed high-grade urothelial carcinoma implants to the Studer pouch and urethra, with spread to the mesenteric lymph nodes draining the pouch. Intraluminal tumor cell seeding appears to be an important mechanism of metachronous transitional cell carcinoma recurrence in the urethra and ileal mucosa of a neobladder.
引用
收藏
页码:184.e11 / 184.e13
页数:3
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