title: Intestinal adenocarcinoma in an augmented ileocystoplasty.
abstract: We present a case of a 67-year-old patient with a history of augmentation ileocystoplasty 31 years ago following genitourinary tuberculosis. Radiological investigations performed due to asymptomatic microscopic haematuria revealed three contrast-enhancing polyps within the neobladder. The patient had enterocystoprostatectomy and histopathological examination of the neobladder revealed mucinous adenocarcinoma in all three polyps, together with a prostatic adenocarcinoma Gleason 7 (3+4). After adjuvant chemotherapy and 1 year of follow-up, he had no sign of clinical or radiological recurrence. Taking into consideration this rare case, we discuss the development of malignant tumours after the incorporation of intestinal segments in a urinary tract reconstruction, showing what relationship exists between secondary neoplastic growth, the primary disease and the type of urinary diversion utilised.
authors.affiliation: Department of Urology, Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal. filipealpoim@gmail.com
authors.forename: Filipe Alpoim
authors.initials: FA
authors.lastname: Lopes
authors.forename: Nidia
authors.initials: N
authors.lastname: Rolim
authors.forename: Tiago
authors.initials: T
authors.lastname: Rodrigues
authors.forename: Artur
authors.initials: A
authors.lastname: Canhoto
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000209:etiology*; D000368:Aged; D006801:Humans; D007082:Ileum / Q000601:surgery; D007414:Intestinal Neoplasms / Q000209:etiology*; D008297:Male; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*
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