Low grade papillary transitional cell carcinoma pelvic recurrence masquerading as high grade invasive carcinoma, ten years after radical cystectomyReport as inadecuate




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World Journal of Surgical Oncology

, 6:103

First Online: 30 September 2008Received: 30 May 2008Accepted: 30 September 2008

Abstract

BackgroundTumor recurrence following radical cystectomy for a low-grade superficial transitional cell carcinoma TCC is exceedingly uncommon and has not been reported previously.

Case presentationWe describe a case of a young male presenting with anorexia, weight loss and a large, painful locally destructive pelvic recurrence, ten years after radical cystoprostatectomy. The pathology was consistent with a low-grade urothelial carcinoma. After an unsuccessful treatment with cisplatin-based chemotherapy, the patient underwent a curative intent hemipelvectomy with complete excision of tumor and is disease free at one year follow-up.

ConclusionA literature review related to this unusual presentation is reported and a surgical solutions over chemotherapy and radiotherapy is proposed.

List of abbreviationsTURBTTransurethral resection of bladder tumor

TCCTransitional cell carcinoma

MVACMethotrexate, vinblastine, doxorubicin and cisplatin.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-6-103 contains supplementary material, which is available to authorized users.

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Author: Pankaj P Dangle - Wenle Paul Wang - Joel Mayerson - Amir Mortazavi - Paul Monk

Source: https://link.springer.com/



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