Urothelial Carcinoma Recurrence in an Orthotopic Neobladder without Urethral or Upper Urinary Tract Involvement
Open Access
- 5 March 2019
- journal article
- case report
- Published by Hindawi Limited in Case Reports in Urology
- Vol. 2019, 1-3
- https://doi.org/10.1155/2019/8458706
Abstract
We describe a case of a 71-year-old male with an isolated recurrence of urothelial carcinoma in an ileal neobladder without involvement of the upper urinary tract or urethra. He was diagnosed with high grade urothelial carcinoma involving a bladder diverticulum with associated carcinoma in situ. He underwent a radical cystectomy and orthotopic Studer ileal neobladder. On routine follow-up, 11 years following cystectomy, voided urine cytology was positive for high grade urothelial carcinoma. Further workup revealed normal upper urinary tracts, normal urethra, and a solitary lesion at the left anteroinferior wall of the neobladder. He subsequently underwent resection of the neobladder and conversion to an ileal conduit with pathology confirming the diagnosis of high grade urothelial carcinoma. Isolated recurrence of urothelial carcinoma within a neobladder without involvement of the upper urinary tract or urethra is rare. No guidelines exist regarding its management. Herein we present our management as well as the current literature published on this topic.Keywords
This publication has 12 references indexed in Scilit:
- Urothelial Carcinoma Recurrence at an Ileal Orthotopic Neobladder and Unilateral Lower Ureter After SurgeryUrology Case Reports, 2016
- Transitional Cell Carcinoma in Orthotopic Ileal NeobladderCase Reports in Urology, 2014
- Bacillus Calmette–Guérin treatment of urothelial carcinoma arising in the ileal neobladder after radical cystectomyInternational Journal of Urology, 2013
- Transitional cell carcinoma in orthotopic ileal neobladder 12 years after radical cystectomyVojnosanitetski Pregled, 2013
- Upper Urinary Tract Recurrence Following Radical Cystectomy for Bladder Cancer: A Meta-Analysis on 13,185 PatientsJournal of Urology, 2012
- Carcinoma In Situ Developing in an Ileal NeobladderUrology, 2007
- Urothelial Carcinoma Recurrence in Ileal Orthotopic Neobladder: Urethrectomy and Creation of Ileal ConduitUrology, 2007
- URETHRAL TUMOR RECURRENCE FOLLOWING CYSTECTOMY AND URINARY DIVERSION: CLINICAL AND PATHOLOGICAL CHARACTERISTICS IN 768 MALE PATIENTSJournal of Urology, 2005
- DOES PROSTATE TRANSITIONAL CELL CARCINOMA PRECLUDE ORTHOTOPIC BLADDER RECONSTRUCTION AFTER RADICAL CYSTOPROSTATECTOMY FOR BLADDER CANCER?Journal of Urology, 1997
- Summary of 10 years' experience with an ileal low-pressure bladder substitute combined with an afferent tubular isoperistaltic segmentWorld Journal of Urology, 1996