Marjolin's ulcer of the suprapubic cystostomy site infiltrating the urinary bladder: a rare occurrence.
We report a case of a 40-year-old man who had presented with a spontaneous suprapubic urinary leak from a well-healed suprapubic cystostomy tract scar, 20 years following a successful scrotal tube substitution urethroplasty done for a post-traumatic urethral stricture. Preoperative contrast studies suggested a recurrent bulbomembranous urethral stricture. Excision biopsy of the suprapubic fistulous tract revealed scar cancer infiltrating the bladder wall. Of 3 similar cases reported in the past, only 1 had bladder involvement. Ours is the second such case with bladder involvement.
Gupta
N P
NP
Department of Urology and Pathology, All India Institute of Medical Sciences, New Delhi, India.
Singh
I
I
Nabi
G
G
Ansari
M S
MS
Mandal
S
S
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000209:etiology* / Q000473:pathology; D002921:Cicatrix / Q000150:complications* / Q000473:pathology; D003559:Cystostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012878:Skin Neoplasms / Q000209:etiology* / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000209:etiology* / Q000473:pathology; D014945:Wound Healing