Sawant Ajit, Bansal Sumit, Pawar Prakash, Kasat Gaurav
Department of Urology, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.
Urol Ann. 2016 Jul-Sep;8(3):394-6. doi: 10.4103/0974-7796.184902.
Abdominal wall metastasis from urothelial cancer is extremely rare and very few such cases have been reported in the literature. As such the treatment protocols are not so well defined. We present an interesting case of a 65-year-old male patient, known case of chronic kidney disease, who presented with a large, fungating infraumbilical mass 8 months postradical cystectomy. The mass involved full thickness anterior abdominal wall and small bowel including the ileal conduit. Wide excision of the mass along with adhered bowel loops and partial excision of the ileal conduit with right ureteric reimplant was performed. The large defect in the anterior abdominal wall was closed using a mesh (permanent with a bioresorbable coating inside) and myocutaneous thigh flap. The histopathological examination of the excised mass was consistent with secondary from the urothelial tumor.
尿路上皮癌腹壁转移极为罕见，文献中报道的此类病例很少。因此，治疗方案尚无明确界定。我们报告一例有趣的病例，一名65岁男性患者，已知患有慢性肾病，在根治性膀胱切除术后8个月出现一个巨大的、呈蕈状的脐下肿物。肿物累及前腹壁全层及小肠，包括回肠通道。对肿物连同粘连的肠袢进行了广泛切除，并对回肠通道进行了部分切除及右输尿管再植术。前腹壁的大缺损用一块补片（外部为永久性，内部有可生物吸收涂层）和股部肌皮瓣关闭。切除肿物的组织病理学检查结果与尿路上皮肿瘤继发病变相符。
