title: Primary adenocarcinoma in the urethrorectal fistula.
abstract: A 60-year-old Japanese man was hospitalized because of urinary leakage from the anus on October 3, 1994. Retrograde urethrography detected a fistula between the bulbous urethra and the rectum. Urethrocystoscopy revealed a tumor on the urethrorectal fistula. Tumor biopsy showed a well differentiated adenocarcinoma. Cystourethrectomy with fistulectomy, and ileal conduit urinary diversion were performed. Pathological examination revealed primary adenocarcinoma in the fistula with invasion to the prostatic urethra and bladder wall. The patient showed no evidence of a recurrence as of August, 1996.
authors.affiliation: Department of Urology, Niigata Rosai Hospital, Joetsu, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Takaki
authors.forename: T
authors.initials: T
authors.lastname: Nishiyama
authors.forename: M
authors.initials: M
authors.lastname: Sekiya
authors.forename: S
authors.initials: S
authors.lastname: Ishizawa
authors.forename: A
authors.initials: A
authors.lastname: Junicho
authors.forename: Y
authors.initials: Y
authors.lastname: Fujishiro
authors.forename: Y
authors.initials: Y
authors.lastname: Yabuzaki
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012002:Rectal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012004:Rectal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014521:Urethra / Q000000981:diagnostic imaging; D014522:Urethral Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014523:Urethral Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014548:Urinary Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery