[The recurrence of bladder cancer in the glans and fossa navicularis of urethra following cystectomy].
A 42-year-old male was admitted to our Hospital. Diagnosis of invasive bladder cancer was made and a total cystectomy was carried out on September 14, 1982. Histological examination showed transitional cell carcinoma, grade II-III, pT2N0M0. After cystectomy, the patient was treated with a combination chemotherapy of cis-platinum, cyclophosphamide, adriamycin and 5-fluorouracil. After 3 years, he noticed an area of reddish and painless rashes around the urethral meatus. A biopsy of the skin lesion showed a nest formation of transitional cell carcinoma with lymphocyte infiltration under the squamous epithelium. A urethrectomy was carried out on January, 28, 1986. A histologic study established the diagnosis of recurrent transitional cell carcinoma. The pathological process seemed to be a result of hematogenous metastasis rather than multicentricity or implantation.
Nagata
Y
Y
Department of Urology, Tokai University, Tokyo Hospital.
Tanaka
M
M
Nakajima
N
N
Tanikawa
K
K
Matsushita
K
K
D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010412:Penile Neoplasms / Q000473:pathology / Q000556:secondary*; D014523:Urethral Neoplasms / Q000473:pathology / Q000556:secondary*; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*