Management of advanced adenocarcinoma in Indiana Pouch urinary diversion

Michael A. Bell, Edward James Wright, Sandy H Fang, Michael Johnson, Nikolai A. Sopko

Research output: Contribution to journalArticle

Abstract

Adenocarcinoma is a rare finding following urinary diversion with gastrointestinal segments. This report describes an 80-year-old woman with a history of bladder cancer who subsequently developed a pT4 adenocarcinoma 8 years following her radical cystectomy and Indiana Pouch continent urinary diversion. An en bloc resection of the pouch and affected small bowel was performed and the patient underwent conversion to an ileal conduit diversion. We use this case to highlight a mechanism for possible pathogenesis and the management of adenocarcinoma in urinary diversions including the need for regular surveillance and the surgical approach.

Original languageEnglish (US)
Pages (from-to)53-55
Number of pages3
JournalUrology Case Reports
Volume17
DOIs
StatePublished - Mar 1 2018

Keywords

  • Adenocarcinoma
  • High microsatellite instability
  • Indiana Pouch

ASJC Scopus subject areas

  • Urology

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