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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Elsevier
2024-01-01
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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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id | doaj.art-eb0bc5d55b8247df8889a6244417c7e3 |
institution | Directory Open Access Journal |
issn | 2214-4420 |
language | English |
last_indexed | 2024-03-08T14:25:40Z |
publishDate | 2024-01-01 |
publisher | Elsevier |
record_format | Article |
series | Urology Case Reports |
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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