title: Peristomal pagetoid spread of urothelial carcinoma of the ureter.
abstract: Patients with ostomy including urinary stoma often develop peristomal complications, especially skin damage. The patient in this case was a 69-year old female with a history of urothelial carcinoma of the bladder and left ureter who underwent transurethral resection of a bladder tumor, nephroureterectomy and cystectomy combined with ureterocutaneostomy. Later, she had recurrence of urothelial carcinoma in the remaining ureter that spread to the peristomal epidermis, with a skin appearance resembling Paget's disease. We report this case based on its clinical significance since we believe it is the first description of this condition in the literature.
authors.affiliation: Department of Urology, Tokyo Women's Medical University, Medical Center East , Tokyo.
authors.forename: Fumio
authors.initials: F
authors.lastname: Ito
authors.forename: Ken
authors.initials: K
authors.lastname: Kihara
authors.forename: Koh
authors.initials: K
authors.lastname: Shiomi
authors.forename: Sumiko
authors.initials: S
authors.lastname: Ishizaki
authors.forename: Masaru
authors.initials: M
authors.lastname: Tanaka
authors.forename: Motohiko
authors.initials: M
authors.lastname: Aiba
authors.forename: Mariko
authors.initials: M
authors.lastname: Fujibayashi
authors.forename: Hayakazu
authors.initials: H
authors.lastname: Nakazawa
keywords: peristomal complication; secondary Paget’s disease; urothelial carcinoma