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[A Case of Bladder Metastasis Occurring after Rectosigmoid Cancer Operation].
- Source :
-
Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2017 Nov; Vol. 44 (12), pp. 1417-1419. - Publication Year :
- 2017
-
Abstract
- A 55-year-old man was admitted to our hospital for rectosigmoid(RS)cancer. We performed high anterior resection in the patient. Pathological findings showed mucinous adenocarcinoma, pT3(SS), pN1, sM0, sP0, pCy0, fStage III a. Two years and 3 months after the first operation, the patient visited our hospital due to lumbago, and we conducted a detailed abdominal examination. CT images showed the bladder tumor expanding into the vesical trigon and invading the prostate and mesorectum. Cystoscopy revealed the tumor, and tumor biopsy indicated poorly differentiated adenocarcinoma. These findings were consistent with metastasis of RS cancer; therefore, we performed total cystectomy, prostatectomy, and partial resection of the rectum. We performed a change of the ileum conduit to the urinary tract. Pathological findings showed many poorly differentiated adenocarcinomas in the lymph ducts ofthe bladder and prostate. Therefore, we diagnosed the condition as bladder cancer lymphogenous metastasis. The patient continues to do well without signs ofrecurrence 6 months later.
- Subjects :
- Adenocarcinoma, Mucinous surgery
Biopsy
Humans
Male
Middle Aged
Neoplasm Invasiveness
Rectal Neoplasms surgery
Sigmoid Neoplasms surgery
Urinary Bladder Neoplasms surgery
Adenocarcinoma, Mucinous secondary
Rectal Neoplasms pathology
Sigmoid Neoplasms pathology
Urinary Bladder Neoplasms secondary
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0385-0684
- Volume :
- 44
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Gan to kagaku ryoho. Cancer & chemotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 29394653