Adenomatous polyp in defunctionalized colonic segment used as a urinary bladder.
For transitional cell carcinoma of the urinary bladder, an eighty-two-year-old man underwent cystoprostatectomy. His urine was diverted to a defunctionalized right colonic segment used to replace his bladder. Four months after the surgery, gross hematuria appeared; endoscopy disclosed an adenomatous polyp in the substitute bladder. We review the incidence and origin of neoplasia in colonic segments used for urinary diversion.
Stillwell
T J
TJ
Department of Urology, Mayo Clinic, Rochester, Minnesota.
Myers
R P
RP
D000368:Aged; D000369:Aged, 80 and over; D002278:Carcinoma in Situ / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D003106:Colon / Q000601:surgery; D003111:Colonic Polyps / Q000209:etiology*; D006801:Humans; D008297:Male; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*