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Title: 膀胱皮膚瘻造設後30年目に発生した膀胱腺癌の1例
Other Titles: Primary Adenocarcinoma of the Bladder at the Vesicocutaneostomy Site Occuring 30 Years after the Operation
Authors: 提箸, 隆一郎  KAKEN_name
市村, 靖  KAKEN_name
飯沼, 昌宏  KAKEN_name
Author's alias: Sagehashi, Ryuichiro
Ichimura, Yasushi
Iinuma, Masahiro
Keywords: Vesicocutaneostomy
Adenocarcinoma
Issue Date: 31-May-2019
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 65
Issue: 5
Start page: 167
End page: 170
Abstract: We report a rare case of primary adenocarcinoma in an 82-year-old man that developed 30 years after vesicocutaneostomy was performed to treat pelvic fractures and urethral injury sustained in a traffic accident. He was lost to follow-up after the surgery. However, he presented again at our hospital with gross hematuria. We detected adenocarcinoma at the edge of the vesicocutaneostomy site in the cystoscopic examination and biopsy findings through the stoma. Computed tomography revealed no evidence of metastasis. We conducted radical cystectomy and abdominal wall resection around the vesicocutaneostomy site and ileal conduit formation. Histopathological examination of surgical specimens revealed primary adenocarcinoma of enteric metaplasia origin and skin involvement. The pathological diagnosis was T4b N0 M0 (stage IV) adenocarcinoma of the bladder. In our case, chronic irritation at the stoma was thought to have induced enteric metaplasia of the bladder epithelium and adenocarcinoma. Although the only symptom exhibited was mild gross hematuria, our case was of advanced cancer with skin involvement. Primary adenocarcinoma of the bladder is rare, and only a few cases of adenocarcinoma associated with vesicocutaneostomy have been reported. However, careful examination should be performed to avoid overlooking malignant tumors in cases with bleeding from the vesicocutaneostomy site.
Rights: 許諾条件により本文は2020/06/01に公開
DOI: 10.14989/ActaUrolJap_65_5_167
URI: http://hdl.handle.net/2433/242272
PubMed ID: 31247695
Appears in Collections:Vol.65 No.5

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