A case of adenocarcinoma 53 years after bladder augmentation using the ileum

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  • UCHIDA Hiroki
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • AKIYAMA Yuko
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • SAKAKIBARA Saho
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • KUMAGAI Akiko
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • KAWAMURA Michihiro
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • NISHIKI Junko
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • YOSHIDA Kyotaro
    Department of Clinical Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers
  • SHIMIZU Sigeki
    Pathology Laboratory, Kinki Central Hospital of the Mutual Aid Association of the Public School Teachers

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Other Title
  • 回腸利用膀胱拡大術後の53年目に腺癌を発症した1例
  • カイチョウ リヨウ ボウコウ カクダイ ジュツゴ ノ 53ネンメ ニ センガン オ ハッショウ シタ 1レイ

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Abstract

<p>Background: Urinary sediment analysis may reveal adenocarcinomas including primary tumor and metastatic tumor, as well as contaminations. Herein, we report a case in which a rare adenocarcinoma was detected in a patient who underwent bladder augmentation using the ileum 53 years ago. Case: The patient was a man in his 70s. Fifty-three years ago, he underwent left nephrectomy and bladder augmentation using the ileum for renal tuberculosis and bladder tuberculosis. Urinalysis revealed atypical cells, and histopathological analysis of a cystoscopic biopsy specimen performed afterwards confirmed adenocarcinoma derived from the ileum. Conclusion: We encountered a rare case of adenocarcinoma detected by urinary sediment examination. Currently, bladder augmentation using the ileum is rarely performed. However, as in this case, many patients develop adenocarcinoma after a long period of time, so we believe that we may still encounter such cases in today examinations. Therefore, after it is important to understand its clinical background and morphological features, performing microscopic examination.</p>

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