title: [A case of adenocarcinoma of the urinary bladder arising 45 years after ileal replacement of ureter for tuberculous ureteral stricture].
abstract: We report a case of adenocarcinoma arising in the urinary bladder 45 years after ileal replacement of ureter for tuberculous ureteral stricture. A 65-year-old man was admitted with gross hematuria. Cystoscopic examination demonstrated a broadbased non-papillary tumor on the left posterior wall of the bladder and a papillary tumor at the anastomotic site between the bladder and ileal segment. Total cystectomy and construction of ileal conduit were performed. The histopathological examination demonstrated well differentiated adenocarcinoma of the bladder and ileal ureter. Intestinal metaplasia widely infiltrated into the bladder epithelium around the anastomotic site.
authors.affiliation: Department of Urology, Showa General Hospital.
authors.forename: Shuichiro
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Tsukamoto
authors.forename: Akira
authors.initials: A
authors.lastname: Tohsaka
authors.forename: Tsuguhiro
authors.initials: T
authors.lastname: Tohma
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000368:Aged; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D014401:Tuberculosis, Urogenital / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014547:Urinary Diversion