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. 2012:2012:142351.
doi: 10.1155/2012/142351. Epub 2012 Oct 18.

Bladder cancer in an inguinoscrotal vesical hernia

Lucas Regis  1 , Fernando Lozano, Jacques Planas, Juan Morote
Affiliations

Bladder cancer in an inguinoscrotal vesical hernia

Lucas Regis et al. Case Rep Oncol Med. 2012.

Abstract

We present the case of a 79-year-old male who, due to hematuria, underwent cystoscopy that showed a lesion in the bladder dome. Transurethral resection was attempted, but access to the tumor by this route was impossible. Given the findings, a body CT scan was performed showing an inguinoscrotal hernia with vesical carcinoma contained. Open surgical treatment of the vesical carcinoma contained within the inguinoscrotal hernia was performed in conjunction with the hernia repair. The anatomical pathology report confirmed a high-grade urothelial carcinoma (stage pT2b) with a free resection margin of <1 mm. Adjuvant radiotherapy was selected for subsequent treatment. The presence of bladder tumor in an inguinoscrotal hernia is an uncommon finding and a diagnostic delay can be assumed. The initial therapeutic plan may need to be changed from the usual approaches due to the atypical presentation.

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Figures

Figure 1
Figure 1
A right inguinoscrotal hernia with bladder contents. Note that the image suggests a bladder tumor in the 3.5 cm hernia sac.
Figure 2
Figure 2
An intraoperative view of the herniated portion of the bladder.
See this image and copyright information in PMC

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