Chung Jae Min, Oh Jeong Hyun, Kang Su Hwan, Choi Seong
Department of Urology, Kosin University College of Medicine, Busan, Korea.
Korean J Urol. 2013 Sep;54(9):638-40. doi: 10.4111/kju.2013.54.9.638. Epub 2013 Sep 10.
Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic cystostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squamous cell carcinoma confined to the suprapubic cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung metastasis and pneumonia.
在此,我们报告一例56岁男性病例,其耻骨上膀胱造瘘口愈合良好的瘢痕处发生鳞状细胞癌,累及膀胱黏膜。他因耻骨上膀胱造瘘口瘢痕处自发性耻骨上尿液渗漏就诊。他有尿道狭窄病史且尿道成形术失败。术前膀胱镜检查提示膀胱肿物。膀胱肿物经尿道活检显示为鳞状细胞癌,局限于耻骨上膀胱造瘘口,累及膀胱黏膜。该患者在开始放射治疗6个月后因肺转移和肺炎死亡。