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    Primary mucinous adenocarcinoma in a defunctionalized urinary bladder: a case report.

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    Authors
    Taneous, Mary
    Ramalingam, Preetha
    Mode, Donald G
    Heiner, Jared G
    Terris, Martha K
    Lee, Jeffrey R.
    Issue Date
    2010-01-11
    URI
    http://hdl.handle.net/10675.2/136
    
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    Abstract
    INTRODUCTION: Malignancies are rare in defunctionalized bladders and are thought to arise from metaplasia secondary to chronic inflammation. Transitional cell and squamous cell carcinomas are the most common but there are three reported cases of mucinous adenocarcinoma. CASE PRESENTATION: We report a 57-year-old Caucasian man presenting with penile discharge for 30 years following ileal conduit surgery for neurogenic bladder, and who was found to have primary mucinous adenocarcinoma of his defunctionalized bladder. CONCLUSION: Although urinary diversion without cystectomy is less common in current urologic practice, there are many patients with longstanding defunctionalized bladders. While there are no established surveillance protocols, defunctionalized bladder patients with urethral discharge should be evaluated.
    Citation
    J Med Case Reports. 2009 Nov 30; 3:9306
    ae974a485f413a2113503eed53cd6c53
    10.1186/1752-1947-3-9306
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    Department of Pathology: Faculty Research and Presentations

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