Bladder carcinoma in a 31-year-old female spina bifida patient with an auto-augmented bladder.

Abstract:

:We present the case of a 31-year-old spina bifida patient presenting with a poorly differentiated T3N1M0 bladder carcinoma with sarcomatoid differentiation in an auto-augmented bladder. She underwent a radical cystectomy and a bilateral lymph node dissection. However, only 10 months after the onset of her symptoms, she died after major lymphatic metastases had developed in the small pelvis. This case report is the first on an adult spina bifida patient developing bladder carcinoma after detrusorectomy. It shows that bladder cancer also occurs in patients who underwent detrusorectomy, despite the fact that the risk is supposedly lower than in patients who underwent enterocystoplasty. Moreover, tumour spread to adjacent organs could occur more rapidly in auto-augmented bladders because of the lack of muscle tissue. The latter could have serious implications on the prognosis of these patients.

journal_name

Int Urol Nephrol

authors

Veenboer PW,de Kort LM

doi

10.1007/s11255-011-0046-3

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

1027-30

issue

4

eissn

0301-1623

issn

1573-2584

journal_volume

44

pub_type

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