title: [Bladder adenocarcinoma 41 years after augmentation enterocystoplasty for tuberculosis].
abstract: OBJECTIVE
  To report a case of adeno-carcinoma arising in an augmented bladder 41 years after the procedure.
  
  
  METHODS
  After troublesome evaluation and fistula closure with urinary diversion by percutaneous nephrostomy, the patient underwent palliative chemotherapy and radiotherapy.
  
  
  RESULTS
  He died 5 months after the onset of the fistula.
  
  
  CONCLUSIONS
  Development of adenocarcinoma in augmentation enterocystoplasties implies a mortality of about 30%. Early detection requires a high index of suspicion. Surveillance of augmented bladders, by annual cystoscopy and urine cytology, is therefore recommended.
authors.affiliation: Urology Department, Hospital São Marcos, Braga, Portugal. andremquinta@gmail.com
authors.forename: André
authors.initials: A
authors.lastname: Quinta
authors.forename: Antonio Pedro
authors.initials: AP
authors.lastname: Carvalho
authors.forename: Mário
authors.initials: M
authors.lastname: Oliveira
authors.forename: Carlos
authors.initials: C
authors.lastname: Oliveira
authors.forename: Americo
authors.initials: A
authors.lastname: Ribeiro Santos
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D000368:Aged; D001284:Atrophy; D001842:Bone and Bones / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D007677:Kidney Function Tests; D008279:Magnetic Resonance Imaging; D008297:Male; D010166:Palliative Care; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed; D014401:Tuberculosis, Urogenital / Q000601:surgery*; D014463:Ultrasonography; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000473:pathology*; D013520:Urologic Surgical Procedures