Squamous Cell Carcinoma of an Ileal Neobladder: A Case Report.
10.4132/KoreanJPathol.2009.43.5.467
- Author:
Ran HONG
1
;
Dong Youl CHOI
;
Dae Eun SHIN
;
Hyung Yoon MOON
;
Keun Hong KEE
Author Information
1. Department of Pathology, College of Medicine, Chosun University, Gwangju, Korea. khkee@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Squamous cell carcinoma;
Ileal neobladder;
Tuberculosis
- MeSH:
Carcinoma, Squamous Cell;
Cystectomy;
Female;
Hematuria;
Humans;
Hysterectomy;
Ileum;
Metaplasia;
Middle Aged;
Papilloma;
Tuberculosis;
Urinary Bladder;
Urinary Diversion
- From:Korean Journal of Pathology
2009;43(5):467-470
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bladder reconstruction using bowel segments, especially the ileum, has become a realistic option for urinary diversion. There is only one prior case of squamous cell carcinoma of the ileal neobladder that has been reported in the clinical literature. Here we report a patient with a spectrum of squamous cell lesions, including squamous cell carcinoma, sarcomatoid carcinoma, squamous papilloma and squamous metaplasia that developed in the ileal neobladder. A 46-year-old woman underwent a hysterectomy, cystectomy and ileocystoplasty for tuberculosis 25 years previously complained of urinary frequency and gross hematuria for one week. A pelvic CT revealed a 6.3 cm mass in the neobladder. The histopathological examination showed an 11x8 cm polypoid fragile mass with a microscopically well-differentiated squamous cell carcinoma, squamous papilloma and non-tumor squamous metaplasia.