title: Adenocarcinoma of the urinary bladder presenting as locally advanced endometrial carcinoma. Case report and review of the literature.
abstract: BACKGROUND
  Carcinoma of the urinary bladder that occurs after urinary diversion is a rare entity. We report a case of an adenocarcinoma arising in a defunctionalized bladder that presented as locally advanced endometrial carcinoma.
  
  
  METHODS
  A 77-year-old presented with postmenopausal bleeding and mucous vaginal discharge. She had a prior history of urinary diversion via a Koch pouch. Examination revealed a mass protruding through the cervix and possibly involving the bladder anteriorly. The patient underwent anterior pelvic exenteration for a locally advanced mucinous carcinoma thought to be arising from the uterus and invading into the bladder. Final pathology, however, was consistent with a primary bladder carcinoma.
  
  
  CONCLUSIONS
  Carcinoma developing in the bladder after urinary diversion presents at an advanced stage and has associated poor overall survival.
authors.affiliation: Department of Obstetrics, Gynecology, and Women's Health, University of Minnesota, Division of Gynecologic Oncology, 420 Delaware Street SE/MMC 395, Minneapolis, MN 55455, USA.
authors.forename: Justin C
authors.initials: JC
authors.lastname: Chura
authors.forename: Doris
authors.initials: D
authors.lastname: Brooker
authors.forename: Levi S
authors.initials: LS
authors.lastname: Downs
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000209:etiology; D000368:Aged; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000209:etiology; D014547:Urinary Diversion / Q000009:adverse effects