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Micropapillary variant of transitional cell carcinoma of the bladder
Author(s) -
SUGINO YOSHIO,
NEGORO HIROMITSU,
IWAMURA HIROSHI,
MOROI SEIJI,
OKA HIROYA,
KAWAKITA MUTSUSHI,
HANIOKA KEISUKE,
TAKEUCHI HIDEO
Publication year - 2004
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2004.00880.x
Subject(s) - medicine , cystectomy , autopsy , transitional cell carcinoma , cyclophosphamide , dissection (medical) , gross hematuria , chemotherapy , lymph node , pathological , radiology , metastasis , doxorubicin , urology , bladder cancer , surgery , pathology , cancer
Abstract A 77‐year‐old man visited the Kobe City General Hospital complaining of macroscopic hematuria. A computed tomography scan found a bladder tumor with left iliac and para‐aortic lymph node metastasis. Two courses of cisplatin, cyclophosphamide and doxorubicin chemotherapy resulted in a minimal response. Radical cystectomy and a retroperitoneal lymph node dissection with bilateral ureterocutaneostomy reconstruction were then performed. A pathological examination revealed a micropapillary variant of transitional cell carcinoma (Grade 3, pT1pN2M1). The patient died of pelvic recurrence 7 months after the initiation of chemotherapy. Peritonitis carcinomatosa and lung metastases were observed at autopsy.