Invasive bladder urothelial carcinoma, plasmacytoid variant: case report

Oliveira, Rui Caetano; Abrantes, Carlos; Silva, Edgar Miguel C. T.; Marinho, Carol A.; Sousa, Vítor; Castro, Lígia R. C. O. A. P.

doi:10.5935/1676-2444.20160043

Cited by 1 publication

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“…Carcinomas uroteliais têm múltiplas variantes morfológicas com diferentes implicações terapêuticas e prognósticas 9 . De acordo com a American Cancer Society, 90% dos cânceres de bexiga ocorrem em indivíduos acima dos 55 anos e o tabagismo é o fator de risco mais importante, responsável por metade dos casos.…”

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Carcinoma Urotelial Da Bexiga: Relato De Caso

2020

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Among male patients, bladder cancer is the fourth most common and is rarely identified in young individuals. The most common symptom is macroscopic hematuria and the initial treatment is transurethral resection of the bladder, in which the stage and classification are identified. Smoking is known to be the main risk factor for bladder cancers. Radical cystectomy and bilateral pelvic lymphadenectomy are the “gold standard” treatment for muscle-invasive bladder cancer. Around 25% of bladder neoplasms are muscle-invasive at diagnosis, but the patients have a good prognosis with this kind of treatment. The Bricker technique is the most used for the reconstruction of the neobladder. In this paper we report the case of a male patient, 55 years old, with invasive high-grade bladder cancer, treated with a radical cystectomy, lymphadenectomy and neobladder using the Bricker technique. After the surgical procedure, the patient remained in the Intensive Care Unit for two days, presenting acute kidney injury and the need for three hemodialysis sessions. The recovery was adequate, with a good postoperative evolution. We emphasize the importance of reporting to the patient about the indispensable clinical follow-up, which must be done until medical discharge, to avoid disease recurrence and the need for more aggressive treatments, as we will see in this case.

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Section: Discussionunclassified