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Case Reports
. 2017:2017:7940101.
doi: 10.1155/2017/7940101. Epub 2017 Nov 12.

Squamous Cell Carcinoma of Suprapubic Cystostomy Site in a Patient with Long-Term Suprapubic Urinary Catheter

Sasikumar Subramaniam  1 , Gowribahan Thevarajah  1 , Karunadasa Kolitha  2 , Nandasena Namantha  1
Affiliations
Case Reports

Squamous Cell Carcinoma of Suprapubic Cystostomy Site in a Patient with Long-Term Suprapubic Urinary Catheter

Sasikumar Subramaniam et al. Case Rep Urol. 2017.

Abstract

Patients with long-term suprapubic cystostomy can rarely develop squamous cell carcinoma (SCC) of the suprapubic cystostomy tract. In addition to the few reported cases in the literature, this paper reports a case of suprapubic cystostomy SCC in an 88-year-old man without bladder involvement. Vigilance about any abnormal lesion at the site of suprapubic cystostomy is important among health providers and patients for early detection of SCC.

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Figures

Figure 1
Figure 1
Suprapubic cystostomy site growth with urinary catheter in situ.
Figure 2
Figure 2
A contrast enhanced computed tomography scan image of suprapubic cystostomy site growth, transverse section.
Figure 3
Figure 3
Cystogram performed through suprapubic cystostomy demonstrates obstruction beyond the prostatic urethra.
Figure 4
Figure 4
Wide local excision of the growth.
Figure 5
Figure 5
After the tumor resection, the skin incision lines to raise the flap are illustrated.
Figure 6
Figure 6
Photograph of completion of reconstruction, showing that the urinary catheter is exteriorized through the flap.
Figure 7
Figure 7
Healed wound at 6 months of follow-up.
Figure 8
Figure 8
Well differentiated squamous cell carcinoma at low power (×40) (a) and high power (×100) (b).
See this image and copyright information in PMC

References

    1. Grignon D. J., El-Bolkainy M. N., Schmitz-Dräger B. J., Simon R., Tyczynski J. E. Squamous cell carcinoma. In: Eble J. N., Sauter G., Epstein J. I., Sesterhenn I. A., editors. World Health Organisation Classification of Tumours. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. Lyon, France: IARC Press; 2004. pp. 124–126.
    1. Stroumbakis N., Choudhury M. S., Hernandez-Graulau J. M. Squamous cell carcinoma arising from suprapubic cystotomy site without bladder involvement. Urology. 1993;41(6):568–570. doi: 10.1016/0090-4295(93)90107-L. - DOI - PubMed
    1. Stokes S., III, Wheeler J. S., Jr., Reyes C. V. Squamous cell carcinoma arising from a suprapubic cystostomy tract with extension into the bladder. The Journal of Urology. 1995;154(3):1132–1133. doi: 10.1016/S0022-5347(01)66999-4. - DOI - PubMed
    1. Schaafsma R. J. H., Delaere K. P. J., Theunissen P. H. M. H. Squamous cell carcinoma of suprapubic cystostomy tract without bladder involvement. Spinal Cord. 1999;37(5):373–374. doi: 10.1038/sj.sc.3100834. - DOI - PubMed
    1. Gupta N. P., Singh I., Nabi G., Ansari M. S., Mandal S. Marjolin's ulcer of the suprapubic cystostomy site infiltrating the urinary bladder: a rare occurrence. Urology. 2000;56(2):p. 330. doi: 10.1016/S0090-4295(00)00577-X. - DOI - PubMed

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