Urethral recurrence of urothelial carcinoma of the bladder following radical cystectomy: An unusual imaging pattern


ÖZDEMİR M., Kavak R. P., EREN T.

Journal of Clinical Imaging Science, cilt.10, sa.1, ss.1-5, 2020 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 10 Sayı: 1
  • Basım Tarihi: 2020
  • Doi Numarası: 10.25259/jcis_7_2020
  • Dergi Adı: Journal of Clinical Imaging Science
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE
  • Sayfa Sayıları: ss.1-5
  • Anahtar Kelimeler: Bladder cancer, Radical cystectomy, Urethral recurrence, Magnetic resonance imaging
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Residual urethra is a common site of recurrence in patients undergoing radical cystectomy with urinary diversion for bladder cancer. Urethral recurrence (UR) clinically manifests as a penile mass or a bloody or purulent penile discharge at a median of 13 months after surgery. And on imaging studies, it characteristically appears as a focal intraluminal mass, urethral wall thickening, or an infiltrating mass arising from the urethra. We, herein, present an unusual case of UR manifesting as a large cyst in the penile root 4 years after radical cystectomy with urinary diversion for muscle-invasive bladder cancer. Further, a complex cystic mass developed in the same location 2 years after the excision of the cystic UR. This case shows that the imaging spectrum of UR after radical cystectomy may be wider and may include cystic and complex patterns.