Extravesical tumor implantation caused by perforation during transurethral resection of a bladder tumor: a case report.
We report a case of invasive bladder cancer in which cancer dissemination occurred through a perforation of the vesical wall during transurethral resection of the tumor. A radical cystectomy was performed 1 month later and several clusters of viable cancer cells were histologically identified in a fibrous foreign body granuloma in the paravesicular adipose tissue of the lymphadenectomy specimen. The patient received adjuvant chemotherapy, but developed right inguinal lymph node metastasis 21 months after cystectomy.
Ohguchi
N
N
Department of Urology, Kansai Medical University, Moriguchi, Japan.
Sakaida
N
N
Okamura
A
A
Kawakita
S
S
Kawamura
H
H
Matsuda
T
T
D000368:Aged; D018952:Antigens, CD34 / Q000032:analysis; D002295:Carcinoma, Transitional Cell / Q000737:chemistry / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen / Q000032:analysis; D019300:Medical Errors / Q000009:adverse effects*; D012983:Soft Tissue Neoplasms / Q000737:chemistry / Q000209:etiology* / Q000473:pathology / Q000556:secondary*; D001743:Urinary Bladder / Q000293:injuries*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*
D018952:Antigens, CD34; D019394:Ki-67 Antigen