Abstract
Background.: Carcinoma of the urinary bladder that occurs after urinary diversion is a rare entity. We report a case of an adenocarcinoma arising in a defunctionalized bladder that presented as locally advanced endometrial carcinoma. Case.: A 77-year-old presented with postmenopausal bleeding and mucous vaginal discharge. She had a prior history of urinary diversion via a Koch pouch. Examination revealed a mass protruding through the cervix and possibly involving the bladder anteriorly. The patient underwent anterior pelvic exenteration for a locally advanced mucinous carcinoma thought to be arising from the uterus and invading into the bladder. Final pathology, however, was consistent with a primary bladder carcinoma. Conclusion.: Carcinoma developing in the bladder after urinary diversion presents at an advanced stage and has associated poor overall survival.
Original language | English (US) |
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Pages (from-to) | 336-341 |
Number of pages | 6 |
Journal | Gynecologic oncology |
Volume | 103 |
Issue number | 1 |
DOIs | |
State | Published - Oct 1 2006 |
Keywords
- Bladder carcinoma
- Endometrial carcinoma
- Urinary diversion