Publication: Radical Cystectomy for Intradiverticular Bladder Carcinoma: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Herniation of bladder mucosa through the bladder wall muscle layer is known as bladder diverticulum. The incidence of bladder diverticulum is 1.7. About 0.8 to 10% of the urinary bladder diverticulum develops carcinoma. Transitional cell carcinoma is the most common. Painless hematuria is the most common clinical presentation. Different imaging modalities along with cystoscopy are the key to accurate diagnosis and staging. High grade multifocal urothelial carcinoma in the bladder diverticulum is better managed by radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Here we report a case of a 66-year old gentleman of high grade multifocal urothelial carcinoma in bladder diverticulum managed with radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Such cases have been addressed adequately in the literature, but we did not find such cases from our country.
Description
Anil Kumar Sah
Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Bipin Maharjan
Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur Nepal
Mahesh Bahadur Adhikari
Department of Urology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Reena Rana
Department of Pathology, Nepal Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Sunila Basnet
Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Rajesh Panta
Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Gopi Aryal
Department of Pathology, Mediciti Hospital, Bhainsepati, Lalitpur, Nepal
Keywords
bladder, diverticulum, radical, cystectomy, urothelial carcinoma