Urothelial carcinoma occurring in a defunctionalized bladder after urinary diversion due to the bladder exstrophy-epispadias complex

© 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association..

Introduction: The bladder exstrophy-epispadias complex is a rare congenital disease. Urothelial carcinomas rarely occur in patients with this disease, and there have been few reports on its treatment.

Case presentation: We report the case of a 44-year-old man with a hemorrhage from the external urethral meatus. He was diagnosed with bladder exstrophy-epispadias complex and underwent urinary diversion with substitution cystoplasty and Mitrofanoff appendicovesicostomy. Because computed tomography and magnetic resonance imaging suggested invasive bladder carcinoma in the defunctionalized bladder, we performed a cystectomy. The patient was diagnosed with urothelial carcinoma with glandular differentiation. One month after the surgery, nivolumab adjuvant chemotherapy was administered. The patient showed no signs of recurrence or metastasis after the treatment.

Conclusion: This is the first case of adjuvant nivolumab therapy for urothelial carcinoma with the bladder exstrophy-epispadias complex.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

IJU case reports - 7(2024), 2 vom: 28. März, Seite 101-104

Sprache:

Englisch

Beteiligte Personen:

Morikawa, Toshiharu [VerfasserIn]
Iwatsuki, Shoichiro [VerfasserIn]
Naiki-Ito, Aya [VerfasserIn]
Gonda, Masakazu [VerfasserIn]
Taguchi, Kazumi [VerfasserIn]
Naiki, Taku [VerfasserIn]
Hamamoto, Shuzo [VerfasserIn]
Okada, Atsushi [VerfasserIn]
Yasui, Takahiro [VerfasserIn]

Links:

Volltext

Themen:

Bladder exstrophy
Carcinoma, transitional
Case Reports
Chemotherapy, adjuvant
Epispadias
Nivolumab
Urinary diversion

Anmerkungen:

Date Revised 06.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/iju5.12675

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369305809