Surveillance des carcinomes urothéliaux : revue du Comité de cancérologie de l’Association française d’urologie

Colin, P.; Pignot, G.; Rouprêt, Morgan; Compérat, Eva; Larré, S.; Roy, Catherine; Quintens, H.; Houédé, Nadine; Soulié, M.; Pfister, Christian

doi:10.1016/j.purol.2015.05.012

Cited by 15 publications

(2 citation statements)

References 54 publications

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“…The recommendations of urology societies concerning follow-up after cystectomy mainly focus on radiological assessment and urethroscopy, with no emphasis placed on clinical examination [1,2]. In our opinion, urology societies should systematically include vaginal examination in the follow-up procedures for patients who have had previous pelvectomy, especially as it is an inexpensive examination that is completely affordable and requires little time.…”

Section: Discussionmentioning

confidence: 99%

“…Anterior Pelvectomy is the standard treatment for infiltrating bladder tumors in women [1]. Follow-up testing typically involves imaging and urethroscopy [2]. While metastatic recurrences are commonly observed in the liver, lungs, and bones [3], vaginal metastases are rare and can unfortunately go undetected in imaging examinations, as in the current case we are presenting.…”

Section: Introductionmentioning

confidence: 86%

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Vaginal Metastatic Recurrence of a Bladder Tumor after Anterior Pelvectomy – A Case Report

Aboulaich,

Kharbach,

Khallouk

2023

Integr J Med Sci

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Background: Vaginal metastatic recurrence after anterior pelvic pelvectomy for bladder tumor is a rare occurrence that remains unexplained and requires specific recommendations to prevent or effectively treat it in a timely manner.Case report: We report on a 69-year-old female patient with a history of hyperthyroidism who had undergone anterior pelvic pelvectomy for bladder tumor and presented a year later with vaginal bleeding. Gynecological examination with a speculum revealed four small budding tumors on the anterior vaginal wall. An anatomopathological study confirmed urothelial carcinoma. We performed surgical excision of all masses and complemented it with radiotherapy.Conclusion: The purpose of our presentation is to discuss predictive factors for vaginal metastatic recurrence and to emphasize the importance of gynecological examination in follow-up after anterior pelvic pelvectomy, which we believe should be included in the recommendations for such follow-up.

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Section: Discussionmentioning

confidence: 99%