The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
Case Reports
RECURRENCE OF BLADDER CANCER IN REMNANT URETHRA AND INGUINAL LYMPH NODE METASTASIS NINE YEARS AFTER TOTAL CYSTECTOMY: A CASE REPORT
Jun ObataEiji KikuchiGou KanekoAkira MiyajimaKaori KameyamaMasahiro JinzakiMototsugu Oya
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2011 Volume 102 Issue 1 Pages 34-38

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Abstract

A 68-year-old man underwent total cystectomy, urethrectomy preserving fossa navicularis, and an Indiana pouch urinary diversion in 1997. The histopathology was UC, G3, pT4 (prostate) . Nine years after the operation, he had multiple metastases to the inguinal and paraaortic lymph nodes (LNs) , and he complained of erosion around the glans. Histological diagnosis of the glans revealed recurrent UC to the urethra of the glans. We considered the possibility that the inguinal LN metastasis was due to lymphatic spread from a remnant urethral recurrence. Thus, a partial penectomy and inguinal LN dissection were undertaken. Systemic chemotherapy was administered. Remnant urethral recurrence after urethrectomy preserving the fossa navicularis and inguinal LN metastasis are rare.

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© 2011 Japanese Urological Association
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