[Adenocarcinoma arising in an ileum segment of Scheele's ring 50 years after cystoplasty].

Abstract

A 70 year-old woman visited our hospital complaining of macrohematuria. She had undergone augmentation ileocystoplasty for tuberculous bladder atrophy 50 years previously. CT and cystoscopy showed tumor at the ileovesical anastomosis. She underwent a partial cystectomy. The pathological diagnosis was adenocarcinoma of the ileal segment. Recurrence was observed with rapid progression. The patient died 8 months after the operation. In Japanese literature, 43 cases of carcinoma arising in augumented bladder have been reported. Average period to the diagnosis of the cancer from the ileocystoplasty is 33 years. The period of our case was 50 years, the longest in 43 cases.

• Authors: Keiji Sugishita, Gaku Mouri, Yoko Nishimura, Ichiro Takeuchi, Akihiro Ishizu, Nobuo Shinohara
• Journal: Nihon Hinyokika Gakkai zasshi. The japanese journal of urology (Nihon Hinyokika Gakkai Zasshi) Vol. 105 Issue 4 Pg. 207-11 (Oct 2014) ISSN: 0021-5287 [Print] Japan
• PMID: 25757352 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adenocarcinoma (etiology, surgery)
• Aged
• Atrophy
• Fatal Outcome
• Female
• Humans
• Ileum (transplantation)
• Postoperative Complications
• Plastic Surgery Procedures (methods)
• Time Factors
• Tuberculosis, Urogenital (complications)
• Urinary Bladder (pathology, surgery)
• Urinary Bladder Diseases (complications)
• Urinary Bladder Neoplasms (etiology, surgery)
• Urologic Surgical Procedures (methods)