Low grade papillary transitional cell carcinoma pelvic recurrence masquerading as high grade invasive carcinoma, ten years after radical cystectomy
2008
Rare Case of Low-Grade Urothelial Carcinoma Recurrence
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Pankaj Dangle, Wenle Wang, Joel Mayerson, Amir Mortazavi, Paul Monk
Primary Institution: The Ohio State University
Conclusion
This case highlights the unusual occurrence of a pelvic recurrence of low-grade urothelial carcinoma after cystectomy, suggesting that surgical resection may be more effective than chemotherapy.
Supporting Evidence
- The patient had a history of low-grade papillary transitional cell carcinoma.
- After chemotherapy failed, the patient underwent a hemipelvectomy and is disease-free at one year follow-up.
- This case is the first reported instance of a non-invasive low-grade urothelial carcinoma recurrence after cystectomy.
Takeaway
A man had a rare return of a low-grade bladder cancer ten years after surgery, and doctors found that surgery worked better than chemotherapy for him.
Methodology
The patient underwent a CT scan, biopsy, chemotherapy, and then a surgical resection of the tumor.
Limitations
The study is based on a single case, limiting generalizability.
Participant Demographics
A 48-year-old male with a history of smoking.
Digital Object Identifier (DOI)
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