IJU Case Reports (May 2022)

Squamous cell and urothelial carcinomas in an ileal neobladder

  • Takeru Fujimoto,
  • Hiromasa Sakamoto,
  • Takaki Sakurai,
  • Kasumi Kanai,
  • Kazuto Imai,
  • Teruyoshi Aoyama

DOI
https://doi.org/10.1002/iju5.12414
Journal volume & issue
Vol. 5, no. 3
pp. 141 – 144

Abstract

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Introduction In cases of ileal neobladder following radical cystectomy for the treatment of bladder cancer, tumor development in the isolated gut segment is extremely rare. Herein, we report a case of squamous cell and urothelial carcinomas in the ileal neobladder 23 years after radical cystectomy. Case presentation A 71‐year‐old man was referred to our hospital for further examination of a solitary tumor in an ileal neobladder. At the age of 48 years, he underwent radical cystectomy with ileal neobladder reconstruction. Transurethral resection of the bladder tumor was performed, and histopathological findings showed squamous cell carcinoma with high‐grade urothelial carcinoma. Conclusion To our knowledge, this is the first report of squamous cell and urothelial carcinomas in an ileal neobladder. While secondary tumor development in an ileal neobladder is rare, it is a cause for concern as a late postoperative adverse event. Therefore, long‐term follow‐ups are recommended.

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