A case of isolated rectal recurrence of muscle invasive bladder cancer

Authors

  • Shaqil N. Kassam Department of Medical Oncology and Hematology, Princess Margaret Hospital, Toronto, Ontario
  • Zared Aziz Department of Laboratory Medicine and Pathobiology University of Toronto, Toronto, Ontario
  • Lick San Hung Department of Laboratory Medicine and Pathobiology University of Toronto, Toronto, Ontario
  • Srikala S. Sridhar Department of Medical Oncology and Hematology, Princess Margaret Hospital, Toronto, Ontario

DOI:

https://doi.org/10.5489/cuaj.1223

Abstract

We present the case of a 53-year-old man with a twenty-five pack year smoking history and a six month history of gross hematuria, who presented with a pT3a, N0, M0, muscle invasive bladder cancer (MIBC). He declined neoadjuvant chemotherapy but did receive post-cystectomy adjuvant chemotherapy. Six months post adjuvant chemotherapy he presented with abdominal pain and a large bowel obstruction, and was found to have an isolated rectal recurrence of MIBC. This case illustrates two important issues. The first being that patients with a smoking history and symptoms of hematuria need to be carefully evaluated to rule out urothelial cancer. And second, for patients with muscle invasive disease, local pelvic recurrence is common and close surveillance for recurrence needs to be implemented.

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Published

2013-05-13

How to Cite

Kassam, S. N., Aziz, Z., Hung, L. S., & Sridhar, S. S. (2013). A case of isolated rectal recurrence of muscle invasive bladder cancer. Canadian Urological Association Journal, 7(5-6), e376–80. https://doi.org/10.5489/cuaj.1223

Issue

Section

Case Report