Andrianne C, Dewandre M, El Hachem G, Burkhard F, Andrianne R, Waltregny D
Service d'Urologie, CHU Liège, Belgique.
Service d'Oncologie, Institut Jules Bordet, Bruxelles, Belgique.
Rev Med Liege. 2020 Jul;75(7-8):537-540.
Patients treated with bladder augmentation have a higher risk of developing bladder cancer than the general population. In these patients, tumours are most frequently primary bladder cancers. Metastasis in an augmentation cystoplasty is extremely rare and here we describe the first case of metastasis from lobular breast carcinoma in an ileal patch. A 52-year-old woman, with a medical history of invasive lobular breast cancer, presented with gross hematuria seven years after an ileal augmentation cystoplasty. A large bladder mass was found exclusively on the enteric patch, with lymphadenopathies from iliac vessels to right kidney hilum. Asurgical resection of the ileal segment with trigonal preservation was performed, associated with a complete cytoreduction. The bladder was reconstructed with a new ileal segment. Pathology confirmed the diagnosis of metastatic lobular breast carcinoma. Patients treated with augmentation cystoplasty need a close and long follow-up to detect the warning signs of tumor development. We herein report our experience of a metastatic lesion on the enteric part of a cystoplasty. Unusual characteristics of the bladder tumor and personal oncologic history of the patient may be suggestive of a secondary lesion.
接受膀胱扩大术治疗的患者患膀胱癌的风险高于普通人群。在这些患者中，肿瘤最常见的是原发性膀胱癌。扩大膀胱成形术中的转移极为罕见，在此我们描述了首例来自小叶乳腺癌转移至回肠补片的病例。一名52岁女性，有浸润性小叶乳腺癌病史，在回肠扩大膀胱成形术后7年出现肉眼血尿。仅在肠补片上发现一个大的膀胱肿块，伴有从髂血管到右肾门的淋巴结肿大。进行了保留三角区的回肠段手术切除，并进行了彻底的细胞减灭术。用新的回肠段重建膀胱。病理证实为转移性小叶乳腺癌。接受扩大膀胱成形术治疗的患者需要密切且长期的随访，以发现肿瘤发展的警示信号。我们在此报告我们在膀胱成形术肠部出现转移病变的经验。膀胱肿瘤的不寻常特征和患者的个人肿瘤病史可能提示为继发性病变。
