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

Fingerprint

Urinary Diversion
Adenocarcinoma
Cystectomy
Urinary Bladder Neoplasms

Keywords

  • Adenocarcinoma
  • High microsatellite instability
  • Indiana Pouch

ASJC Scopus subject areas

  • Urology

Cite this

Management of advanced adenocarcinoma in Indiana Pouch urinary diversion. / Bell, Michael A.; Wright, Edward James; Fang, Sandy H; Johnson, Michael; Sopko, Nikolai A.

In: Urology Case Reports, Vol. 17, 01.03.2018, p. 53-55.

Research output: Contribution to journalArticle

@article{920df0e8e99a4be5af57cd0923d62f75,
title = "Management of advanced adenocarcinoma in Indiana Pouch urinary diversion",
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.",
keywords = "Adenocarcinoma, High microsatellite instability, Indiana Pouch",
author = "Bell, {Michael A.} and Wright, {Edward James} and Fang, {Sandy H} and Michael Johnson and Sopko, {Nikolai A.}",
year = "2018",
month = "3",
day = "1",
doi = "10.1016/j.eucr.2018.01.008",
language = "English (US)",
volume = "17",
pages = "53--55",
journal = "Urology Case Reports",
issn = "2214-4420",
publisher = "Elsevier Saunders",

}

TY - JOUR

T1 - Management of advanced adenocarcinoma in Indiana Pouch urinary diversion

AU - Bell, Michael A.

AU - Wright, Edward James

AU - Fang, Sandy H

AU - Johnson, Michael

AU - Sopko, Nikolai A.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - 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.

AB - 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.

KW - Adenocarcinoma

KW - High microsatellite instability

KW - Indiana Pouch

UR - http://www.scopus.com/inward/record.url?scp=85040347882&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040347882&partnerID=8YFLogxK

U2 - 10.1016/j.eucr.2018.01.008

DO - 10.1016/j.eucr.2018.01.008

M3 - Article

C2 - 29379738

AN - SCOPUS:85040347882

VL - 17

SP - 53

EP - 55

JO - Urology Case Reports

JF - Urology Case Reports

SN - 2214-4420

ER -