Recurrence of bladder cancer in remnant urethra and inguinal lymph node metastasis nine years after total cystectomy: A case report

Jun Obata, Eiji Kikuchi, Gou Kaneko, Akira Miyajima, Kaori Kameyama, Masahiro Jinzaki, Mototsugu Oya

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 68-year-old man underwent total cystectomy, urethrectomy preserving fossa naviculars, 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.

Original languageEnglish
Pages (from-to)34-38
Number of pages5
JournalJapanese Journal of Urology
Volume102
Issue number1
DOIs
Publication statusPublished - 2011 Jan

Keywords

  • Cystourethrectomy
  • Inguinal lymph node metastasis
  • Urethral recurrence

ASJC Scopus subject areas

  • Urology

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