Adenocarcinoma following urinary diversion

Authors

  • Peter Yicum Jian Scott Department of Urology, Baylor College of Medicine, Houston, TX
  • Guilherme Godoy Scott Department of Urology, Baylor College of Medicine, Houston, TX;
  • Michael Coburn Scott Department of Urology, Baylor College of Medicine, Houston, TX
  • Garrett Lynch Department of Pathology, The Methodist Hospital, Houston, TX;
  • Jae Y Ro Department of Pathology, The Methodist Hospital, Houston, TX;
  • Qihui “Jim” Zhai Department of Pathology, University of Cincinnati, Greater Cincinnati Pathologists, Inc. Cincinnati, OH;
  • Michiya Nishino Medical Scientist Training Program, Baylor College of Medicine, Houston, TX
  • Seth P. Lerner Scott Department of Urology, Baylor College of Medicine, Houston, TX

DOI:

https://doi.org/10.5489/cuaj.166

Abstract

The use of bowel segments in urinary diversions has been associated

with an increased risk of neoplasia. This report describes three

cases of intestinal adenocarcinoma following urinary diversion. In

the first case, a 73-year-old woman developed moderately-differentiated

colonic adenocarcinoma in her Indiana pouch 10.5 years

after cystectomy. The second case involved a 77-year-old man with

well-differentiated adenocarcinoma in his Indiana pouch 9 years

after radical cystoprostatectomy and en bloc urethrectomy. The

third case involved a 38-year-old man with moderately-differentiated

adenocarcinoma arising in his ileal conduit 33 years after the

creation of the conduit. These cases highlight the diagnostic signs

of adenocarcinoma arising in urinary diversions and emphasize the

importance of lifelong surveillance in these patients.

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Author Biographies

Peter Yicum Jian, Scott Department of Urology, Baylor College of Medicine, Houston, TX

Scott Department of Urology, Baylor College of Medicine, Houston, TX

Guilherme Godoy, Scott Department of Urology, Baylor College of Medicine, Houston, TX;

 

 

Scott Department of Urology, Baylor College of Medicine, Houston, TX;

Michael Coburn, Scott Department of Urology, Baylor College of Medicine, Houston, TX

Scott Department of Urology, Baylor College of Medicine, Houston, TX

Garrett Lynch, Department of Pathology, The Methodist Hospital, Houston, TX;

Department of Pathology, The

Methodist Hospital, Houston, TX;

Jae Y Ro, Department of Pathology, The Methodist Hospital, Houston, TX;

Department of Pathology, The

Methodist Hospital, Houston, TX;

Qihui “Jim” Zhai, Department of Pathology, University of Cincinnati, Greater Cincinnati Pathologists, Inc. Cincinnati, OH;

Department of Pathology, University of Cincinnati, Greater Cincinnati Pathologists, Inc. Cincinnati, OH;

Michiya Nishino, Medical Scientist Training Program, Baylor College of Medicine, Houston, TX

Medical Scientist Training Program, Baylor College of Medicine, Houston, TX

Seth P. Lerner, Scott Department of Urology, Baylor College of Medicine, Houston, TX

Scott Department of Urology, Baylor College of Medicine, Houston, TX

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Published

2012-12-18

How to Cite

Jian, P. Y., Godoy, G., Coburn, M., Lynch, G., Ro, J. Y., Zhai, Q. “Jim”, Nishino, M., & Lerner, S. P. (2012). Adenocarcinoma following urinary diversion. Canadian Urological Association Journal, 6(2). https://doi.org/10.5489/cuaj.166

Issue

Section

Case Report