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Bladder cancer following ileal ureter. Case report
1Urology & Nephrology Center, Mansoura University, Egypt.
Scandinavian Journal of Urology and Nephrology
|March 1, 1995
Summary
Ileal ureter reconstruction can lead to squamous cell carcinoma at the ileovesical junction. Regular urine cytology and cystoscopy are recommended 10 years post-surgery to detect potential tumors early.
Area of Science:
- Urology
- Oncology
- Gastroenterology
Background:
- Ileal ureter substitution is a surgical technique used for ureteral reconstruction.
- Uroenteric anastomosis carries a risk of malignancy, similar to ureterosigmoidostomy.
Observation:
- A case of squamous cell carcinoma (SCC) at the ileovesical junction is presented.
- The tumor was diagnosed 12 years after total ureter replacement with ileum.
Findings:
- The uroenteric junction, even when not exposed to the fecal stream, may be a site for cancer development.
- Tumorigenesis may be linked to urine infected with fecal bacterial flora and a healing suture line.
Implications:
- Yearly urine cytology screening is recommended starting 10 years after ileal ureter surgery.
- Cystoscopy should be performed if any abnormalities are detected during screening.