Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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A Case of Extravesical Metastases Occurring after Transurethral Resection of Non-Invasive Bladder Cancer

비침습적 방광암의 경 요도 절제술 후 발생한 방광 외 전이에 대한 증례 보고

  • Kang, Ga Ram (Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Sohn, Dong Wan (Department of Urology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Chung, Dong Jin (Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 강가람 (가톨릭대학교 의과대학 의정부성모병원 영상의학과) ;
  • 손동완 (가톨릭대학교 의과대학 여의도성모병원 비뇨기과) ;
  • 정동진 (가톨릭대학교 의과대학 여의도성모병원 영상의학과)
  • Received : 2017.04.04
  • Accepted : 2017.10.17
  • Published : 2018.02.01
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Abstract

A transurethral resection of bladder tumor (TURBT) is the primary treatment modality for bladder cancer. The common complications of TURBT include urinary tract infections, a hemorrhage requiring transfusion, and bladder perforation. Extravesical metastasis and intraperitoneal seeding of tumor cells following TURBT are very rarely reported. This report reviews a case of extravesical metastasis occurring after a repeated TURBT of non-invasive bladder cancer.

비침습적 방광암의 경 요도 절제술은 방광암의 첫 번째 치료 방법으로 알려져 있다. 비침습적 방광암의 경 요도 절제술의 흔한 합병증으로는 요로감염, 수혈이 필요한 정도의 출혈, 방광 천공 등이 있다. 반면 시술 후 종양의 방광 외 전이 및 복막으로의 파종 등은 매우 드물게 보고된다. 이에 저자들은 비침습적 방광암의 반복적인 경 요도 절제술 후 방광 외 전이가 발생한 증례를 보고하고자 한다.

Keywords

References

  1. Babjuk M, Oosterlinck W, Sylvester R, Kaasinen E, Bohle A, Palou-Redorta J, et al. EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder, the 2011 update. Eur Urol 2011;59:997-1008 https://doi.org/10.1016/j.eururo.2011.03.017
  2. Collado A, Chechile GE, Salvador J, Vicente J. Early complications of endoscopic treatment for superficial bladder tumors. J Urol 2000;164:1529-1532 https://doi.org/10.1016/S0022-5347(05)67021-8
  3. Mydlo JH, Weinstein R, Shah S, Solliday M, Macchia RJ. Long-term consequences from bladder perforation and/or violation in the presence of transitional cell carcinoma: results of a small series and a review of the literature. J Urol 1999;161:1128-1132 https://doi.org/10.1016/S0022-5347(01)61608-2
  4. Engilbertsson H, Aaltonen KE, Bjornsson S, Kristmundsson T, Patschan O, Ryden L, et al. Transurethral bladder tumor resection can cause seeding of cancer cells into the bloodstream. J Urol 2015;193:53-57 https://doi.org/10.1016/j.juro.2014.06.083
  5. Gwynn ES, Clark PE. Bladder cancer. Curr Opin Oncol 2006; 18:277-283 https://doi.org/10.1097/01.cco.0000219258.75961.1a
  6. Nieder AM, Meinbach DS, Kim SS, Soloway MS. Transurethral bladder tumor resection: intraoperative and postoperative complications in a residency setting. J Urol 2005; 174:2307-2309 https://doi.org/10.1097/01.ju.0000181797.19395.03
  7. Kim JH, Yang WJ. Delayed spontaneous perforation of urinary bladder with intraperitoneal seeding following radical transurethral resection of invasive urothelial cancer: a case report. BMC Res Notes 2014;7:167 https://doi.org/10.1186/1756-0500-7-167
  8. Golan S, Baniel J, Lask D, Livne PM, Yossepowitch O. Transurethral resection of bladder tumour complicated by perforation requiring open surgical repair - clinical characteristics and oncological outcomes. BJU Int 2011;107:1065-1068 https://doi.org/10.1111/j.1464-410X.2010.09696.x
  9. Bus MT, Cordeiro ER, Anastasiadis A, Klioueva NM, de la Rosette JJ, de Reijke TM. Urothelial carcinoma in both adnexa following perforation during transurethral resection of a non-muscle-invasive bladder tumor: a case report and literature review. Expert Rev Anticancer Ther 2012;12: 1529-1536 https://doi.org/10.1586/era.12.136
  10. Kitamura H, Tsukamoto T. Early bladder cancer: concept, diagnosis, and management. Int J Clin Oncol 2006;11:28-37 https://doi.org/10.1007/s10147-006-0552-y