[Metastasizing adenocarcinoma of the colon in a patient with ceco-cystoplasty].
Augmentation and substitution erocystoplastias are currently widely accepted techniques for the treatment of several benign and malignant diseases. Appearance of neoplasia on the various gut segments used after a latency period ranging from 5 to 25 years following initial surgery has been described. The paper presents one case of metastatic colon adenocarcinoma initially located in the region of ureteral reimplantation, in a patient with augmentation cecocystoplastia performed as a result of vesical retraction secondary to genitourinary tuberculosis. Appearance of this type of neoplasia in an increasing population, quite often young, compels the urologist to keep a tight watch. Endoscopic monitoring of the new bladder is the most effective diagnostic procedure. A once-a-year endoscopy after an interval as yet not definitely established, but which could be around 10 years after initial enterocystoplastia, seems advisable at least in cases at higher risk.
Tellez Martínez-Fornes
M
M
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Burgos Revilla
F J
FJ
Del Hoyo Campos
J
J
Rivas Escudero
J A
JA
Navío Niño
S
S
Allona Almagro
A
A
Castañeda Casanova
A
A
Escudero Barrilero
A
A
D000230:Adenocarcinoma / Q000209:etiology / Q000473:pathology*; D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000556:secondary; D000368:Aged; D001344:Autopsy; D002432:Cecum / Q000601:surgery; D003110:Colonic Neoplasms / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D013964:Thyroid Neoplasms / Q000473:pathology / Q000556:secondary; D014398:Tuberculosis, Renal / Q000150:complications / Q000601:surgery; D014401:Tuberculosis, Urogenital / Q000150:complications / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014567:Urography