title: [Recurrence of bladder cancer in remnant urethra and inguinal lymph node metastasis nine years after total cystectomy: a case report].
abstract: A 68-year-old man underwent total cystectomy, urethrectomy preserving fossa navicularis, and an Indiana pouch urinary diversion in 1997. The histopathology was UC, G3, pT4 (prostate). Nine years after the operation, he had multiple metastases to the inguinal and paraaortic lymph nodes (LNs), and he complained of erosion around the glans. Histological diagnosis of the glans revealed recurrent UC to the urethra of the glans. We considered the possibility that the inguinal LN metastasis was due to lymphatic spread from a remnant urethral recurrence. Thus, a partial penectomy and inguinal LN dissection were undertaken. Systemic chemotherapy was administered. Remnant urethral recurrence after urethrectomy preserving the fossa navicularis and inguinal LN metastasis are rare.
authors.affiliation: The Department of Urology, Keio University School of Medicine.
authors.forename: Jun
authors.initials: J
authors.lastname: Obata
authors.forename: Eiji
authors.initials: E
authors.lastname: Kikuchi
authors.forename: Gou
authors.initials: G
authors.lastname: Kaneko
authors.forename: Akira
authors.initials: A
authors.lastname: Miyajima
authors.forename: Kaori
authors.initials: K
authors.lastname: Kameyama
authors.forename: Masahiro
authors.initials: M
authors.lastname: Jinzaki
authors.forename: Mototsugu
authors.initials: M
authors.lastname: Oya
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D015653:Cystectomy; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014523:Urethral Neoplasms / Q000556:secondary* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000473:pathology* / Q000628:therapy; D014547:Urinary Diversion