Marjolin’s ulcer of the suprapubic cystostomy site infiltrating the urinary bladder: a rare occurrence

Gupta, Narmada P.; Nabi, Ghulam; Ansari, M.S.; Mandal, Subhasis

doi:10.1016/s0090-4295(00)00577-x

Cited by 7 publications

(7 citation statements)

References 4 publications

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“…There are only four case reports of suprapubic catheter tract squamous cell carcinoma (two of them involving the bladder) in the English literature [5-8]. The case reported here is the third case of suprapubic catheter tract squamous cell carcinoma extending into the bladder.…”

Section: Discussionmentioning

confidence: 90%

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Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement

Chung

Kang

et al. 2013

Korean J Urol

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Herein we report a case of a squamous cell carcinoma of a well-healed suprapubic cystostomy tract scar involving the bladder mucosa in a 56-year-old man. He presented with a spontaneous suprapubic urinary leak from a suprapubic cystostomy tract scar. He had a history of urethral stricture and failed urethroplasty. Preoperative cystoscopy suggested a bladder mass. Transurethral biopsy of the bladder mass revealed a squamous cell carcinoma confined to the suprapubic cystostomy tract involving the bladder mucosa. The patient died 6 months after the start of radiation therapy after lung metastasis and pneumonia.

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Section: Discussionmentioning

confidence: 90%

“…These lesions are usually localized and are best treated by radical excisional surgery because of the rapid death of conservatively treated patients [1]. Bladder involvement generally dictates surgical management because long-term survival benefits resulting from radiotherapy or chemotherapy have not been reported to date [8]. …”

Section: Discussionmentioning

confidence: 99%

Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement

Chung

Kang

et al. 2013

Korean J Urol

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“…Generally the latency in young age group being more 20-25 years [6,8] and in old age being short 5 to 10 years [4,5,10], probably due to decreased immune surveillance and accumulating mutations with advancing age, mandating a strict surveillance protocol in old age people with SPC. The bladder may [6,8,9] or may not [4,5,10] be involved concomitantly. If the bladder is involved, cases may present with hematuria or positive urine cytology on cystoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentation is that of a fungating skin ulcer or a spontaneous opening of a previously closed fistula with or without hematuria. In cases with concomitant bladder tumor the later presentation is more common [6,8,9] while if there is no bladder involvement the malignancy presents as a new or rapidly developing ulcer [4,5,10].…”

Section: Discussionmentioning

confidence: 99%

Squamous Cell Carcinoma Arising From Suprapubic Cystostomy Tract Along With Bladder Involvement

Ranjan¹,

Rp²,

Ahmad³

et al. 2015

JCR

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Introduction: Squamous cell carcinoma (SCC) is the second most common type of bladder malignancy, even though accounts for only 5% cases. SCC is even more rarely reported arising from suprapubic cystostomy tract. Case Report: We report a case of a 68 year old male patient who presented with squamous cell carcinoma of the suprapubic tract along with involvement of the urinary bladder. He presented with a suprapubic urinary fistula. His initial suprapubic cystostomy was placed 20 years ago. The patient received palliative radiotherapy but died after four months due to progressive disease. Conclusion: The SCC in this case was thought to arise from chronic irritation of the suprapubic cystostomy. Physicians and patients should pay careful attention to such long-term indwelling catheter use, especially skin changes around the suprapubic cystostomy.

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“…There have been a small number of recorded cases of malignancy affecting and arising from the SPC tract itself [6][7][8][9][10][11][12][13][14][15][16][17], with a significant proportion of those affected being SCI patients [17][18][19][20][21][22][23][24]. We present three patients affected with malignancy of the SPC tract being; mucinous adenocarcinoma, squamous cell carcinoma (SCC) and sarcoma.…”

Section: Introductionmentioning

confidence: 99%

Malignancies of suprapubic catheter (SPC) tracts in spinal cord injury patients: a case series and review of literature

Prattley

New

Davies

2019

Spinal Cord Ser Cases

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Introduction Spinal cord injury (SCI) patients are at increased risk of bladder cancer. A rare variation of this is a malignancy arising or including the suprapubic catheter (SPC) tract. Case series We present the first case series of malignancy of the SPC tract in SCI patients, including a case of mucinous adenocarcinoma, squamous cell carcinoma and sarcoma. Presentation of patients ranged from bleeding at the site of the SPC to a rapidly growing mass. All three patients were thoroughly investigated, and management was bespoke to the extent of disease and their physiological state at the time of diagnosis. This ranged from extensive surgical intervention including cystectomy, partial sigmoidectomy, excision of the abdominal wall with reconstruction and ileal conduit formation to palliation. Discussion SCI patients represent 50% of all known published cases of malignancy of the SPC tract. Presentation and diagnosis can be challenging; however, prompt investigation and intervention are essential given the high degree of morbidity and mortality. Routine check of the SPC site may be indicated in those patients in whom the SPC has been present for more than 5 years.

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Marjolin’s ulcer of the suprapubic cystostomy site infiltrating the urinary bladder: a rare occurrence

Cited by 7 publications

References 4 publications

Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement

Squamous Cell Carcinoma of the Suprapubic Cystostomy Tract With Bladder Involvement

Squamous Cell Carcinoma Arising From Suprapubic Cystostomy Tract Along With Bladder Involvement

Malignancies of suprapubic catheter (SPC) tracts in spinal cord injury patients: a case series and review of literature

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