Adenocarcinoma occurring 37 years after augmentation ileocystoplasty for tuberculous bladder atrophy: report of a case

• Published in: Hinyokika kiyo. Acta urologica Japonica Vol. 43; no. 10; pp. 743 - 745
• Main Authors: Koizumi, S, Johnin, K, Kataoka, A, Nakai, M, Tomoyoshi, T
• Format: Journal Article
• Language: Japanese
• Published: Japan 01.10.1997
• Subjects: Adenocarcinoma - etiology; Adenocarcinoma - pathology; Atrophy; Female; Humans; Ileum - surgery; Middle Aged; Time Factors; Tuberculosis, Urogenital - surgery; Urinary Bladder - pathology; Urinary Bladder Neoplasms - etiology; Urinary Bladder Neoplasms - pathology; Urinary Diversion - adverse effects
• ISSN: 0018-1994

A 55-year-old woman was admitted with urinary frequency. She had undergone augmentation ileocystoplasty due to tuberculous bladder atrophy 37 years previously. Cystoscopy revealed a tumor on the posterior wall which had been augmented with the ileum. Partial cystectomy and bladder reconstruction using a segment of ileum and ascending colon were performed. Gross inspection showed a 15 x 10 mm, papillary tumor on the ileal mucosa near the vesico-ileal anastomosis. Histologically, moderately differentiated adenocarcinoma infiltrating into the muscle layer was surrounded by the normal ileal mucosa. She has been free of recurrence for 2 years postoperatively. This is the 8th case of adenocarcinoma following augmentation ileocystoplasty reported in the Japanese literature.