Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder

Bladder cancer commonly metastasizes to the lymph nodes. Rectal obstruction (RO) caused by bladder cancer has been reported rarely, and its underlying mechanism remains unclear. Herein, we present an autopsy case of a 67-year-old man with RO caused by urothelial carcinoma (UC) with a micropapillary...

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Main Authors: Takashi Ando, Shinichi Morita, Makoto Naito
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442023003273
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author Takashi Ando
Shinichi Morita
Makoto Naito
author_facet Takashi Ando
Shinichi Morita
Makoto Naito
author_sort Takashi Ando
collection DOAJ
description Bladder cancer commonly metastasizes to the lymph nodes. Rectal obstruction (RO) caused by bladder cancer has been reported rarely, and its underlying mechanism remains unclear. Herein, we present an autopsy case of a 67-year-old man with RO caused by urothelial carcinoma (UC) with a micropapillary variant in the bladder. The autopsy showed high-grade UC infiltrating the rectum via the bladder's lateral pedicle, and widely spreading within the retroperitoneum due to lymphatic dissemination. Given that RO caused by bladder cancer is typically diagnosed after it has become a systemic disease, it is crucial to consider systemic treatment for the patient.
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spelling doaj.art-eb0bc5d55b8247df8889a6244417c7e32024-01-13T04:44:17ZengElsevierUrology Case Reports2214-44202024-01-0152102641Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladderTakashi Ando0Shinichi Morita1Makoto Naito2Department of Urology, Japan; Corresponding author. Department of Urology, JA Niigata Kouseiren Murakami General Hospital, Midorimachi 5-8-1, Murakamishi, Niigata, 958-8533, Japan.Department of Gastroenterology, JA Niigata Kouseiren Murakami General Hospital, Midorimachi 5-8-1, Murakamishi, Niigata, 958-8533, JapanDepartment of Pathology, Niigata Medical Center, Kobari 3-27-11, Nishi-ku, Niigata, 950-2022, JapanBladder cancer commonly metastasizes to the lymph nodes. Rectal obstruction (RO) caused by bladder cancer has been reported rarely, and its underlying mechanism remains unclear. Herein, we present an autopsy case of a 67-year-old man with RO caused by urothelial carcinoma (UC) with a micropapillary variant in the bladder. The autopsy showed high-grade UC infiltrating the rectum via the bladder's lateral pedicle, and widely spreading within the retroperitoneum due to lymphatic dissemination. Given that RO caused by bladder cancer is typically diagnosed after it has become a systemic disease, it is crucial to consider systemic treatment for the patient.http://www.sciencedirect.com/science/article/pii/S2214442023003273
spellingShingle Takashi Ando
Shinichi Morita
Makoto Naito
Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
Urology Case Reports
title Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
title_full Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
title_fullStr Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
title_full_unstemmed Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
title_short Unusual lymphatic spread: Autopsy report of rectal obstruction from high-grade micropapillary urothelial carcinoma in the urinary bladder
title_sort unusual lymphatic spread autopsy report of rectal obstruction from high grade micropapillary urothelial carcinoma in the urinary bladder
url http://www.sciencedirect.com/science/article/pii/S2214442023003273
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