Skip to main content
. 2020 Dec 9;73(4):445–456. doi: 10.5173/ceju.2020.0168.R1

Table 3.

Summary of case reports found in the literature with transitional cell carcinoma recurrence within an intestinal urinary diversion (TCCUD) after radical cystectomy

Author Journal Age/sex Histology at cystectomy Urinary diversion Recurrence site Symptoms at presentation Months after cystectomy Upper Tract TCC Treatment of the recurrence Additional therapy Final pathology of TCCUD Death Follow-up (months)
Soloway et al. [7] J Urol. 1972 71/F N/A IC UIA GE and PC 19 Yes RT N/A TCC Yes 24
Soloway et al. [7] J Urol. 1972 57/M N/A IC UIA PC 13 Yes PR and formation of a new conduit + NUT N/A TCC Yes 15
Grabstald [8] J Urol. 1974 58/M pT3N0 IC Around the ileal stoma Tumor formation around the ilea! stoma 48 No PR No TCC infiltrating grade 2 carcinoma with deep invasion into the muscularis of the ileal conduit. No 18
Wajsman et al. [9] Urology. 1975 57/M N/A IC UD GE 108 Yes PR CHT TCC grade II No 12
Banigo et al. [10] J Urol. 1975 69/M N/A IC UIA N/A 36 Yes PR + Resection of distal left ureter N/A TCC No 9
Allan DM et al. [11] Br J Urol. 1976 56/M N/A IC UIA abscess 15 Yes TR + NUT None performed TCC N/A N/A
Rubin et al. [12] Urol Radiol. 1979 68/F N/A IC UD GE and PC 78 No PR and reanastomosis of ileal conduit None performed TCC Yes 1 day post surgery
Curran et al. [13] Postgrad Med J. 1986 66/F T1G2 IC UD GE 48 Yes PR + NUT None performed TCC noninvasive grade I and II N/A N/A
Moskovitz et al. [14] Urol Int. 1986 52/M N/A IC UIA N/A 15 Yes NUT+ resection of the ureter with the cuff of ileum. Reanastomosis of the loop. None performed TCC N/A N/A
Roberts et al. [15] J Urol. 1987 69/F T3bNoMx IC UD UTI and upper tract obstruction 4 No PR + distal portion of the conduit was fashioned into a new stoma CHT TCC poorly differentiated transitional Yes 4
Rosvanis et al. [16] Cancer. 1989 73/M CIS IC UD GE 60 Yes NUT + PR None performed TCC noninvasive grade 2 Yes 12
Mulholland et al. [17] BrJ Urol. 1993 54/M N/A IC UD GE N/A Yes PR + Resection of 3 cm of ureter None performed Grade II TCC without a direct invasion of the submucosa N0M0 N/A N/A
Garcia et al. [18] Br J Urol 1993 77/M pT2G3L1 IC UD GE 36 No Not performed CHT TCC N/A N/A
Corral et al. [19] J Urol. 1993 54/M pT3aNo IC UD GE 12 No PR Preoperative and postoperative CHT Poorly differentiated TCC with transmural extension into serosal adipose tissue with marked angiolymphatic invasion. No 54
Carter et al. [20] Eur Urol. 1996 67/M PT3. No Mo G2 IC UD GE, UTI, PC 24 No TR + new conduit fashioned away from the original stoma CHT TCC invading the full thickness of the bowel wall to the surrounding retroperitoneal Yes N/A
Inobe T et al. [21] Int J Urol. 1999 66/M pT3bG3pN0 IC UD No symptoms 4 No Not performed Palliative RT TCC Yes 7
Sanchez Zalabardo et al. [22] Actas Urol Esp. 2001 57/M pT3aN0M0G3 OIN UD N/A 108 Yes PR CHT and RT TCC No 3
Shioji et al. [23] Urol Nephrol. 2001 67/M pT3bN2M0 IC UIA + UD GE 11 Yes PR + resection of the ureteroileal junction None performed TCCG2 Yes 19
Hara et al.[24] Urology. 2003 67/M Invasive bladder cancer SCN UIA + UD N/A 96 Yes TR +NUT None performed TCC, grade 3 + CIS N/A N/A
Herawi et al. [25] Urology. 2006 60/M N/A OIN UD PC 3 Yes Biopsies of the ileocolonic neobladder None performed TCC noninvasive low- grade N/A N/A
Ide et al. [26] Urology. 2007 73/M Grade 3, Stage pT1 OIN UIA PC 144 Yes TR+ NUT+ conversion to ileal conduit + urethrectomy None performed TCC pT2, grade 3. CIS, No 6
Moore et al. [27] Urology. 2007 62/M pT3N0M0 OIN UD GE 12 No TR+ conversion to ileal conduit + urethrectomy + mesenteric lymphadenectomy. CHT TCC high-grade. Positive metastatic lymph nodes Yes (multiple metastasis liver, lung, and adrenal gland) 15
Kotb et al.[28] Ecancermedicalscience. 2012 59/F pT2N0, with squamoid differentation OIN UD GE 156 No TR+ continent reservoir Urethrectomy None performed TCC pT3 No 3
Hadzi-Djokic et al. [29] Vojnosanit Pregl. 2013 65/M pT2G2N0M0 OIN UIA GE 144 Yes PR + NUT None performed TCC pT2bG2 Yes, for laryngeal carcinoma 12
Yamashita et al. [30] Int J Urol. 2014 74 /M pT3aN0M0 + CIS OIN UD GE and PC 72 Yes Endoscopic resection BCG instillation for 8 months TCC pTa + CIS N/A N/A
Cakmak et al. [31] Case Rep Urol. 2014 51/M grade 3, stage pT1N0M0 OIN UD GE 132 No Endoscopic resection None performed TCC low-grade Yes 18
Kawamoto et al. [32] Urology Case Reports. 2016 61/M cT2 pTIS,G3N0 OIN UIA PC 108 Yes TR+ conversion to ileal conduit + NUT CHT TCC pT2b, grade 3 No 20
Cherbanyk et al. [33] Case Rep Urol. 2016 66/M pT3a pN1 (1/13) cM0, G3, L1 OIN UD GE 108 No Endoscopic resection CHT TCC tumor invaded the muscularis propria of the ileal neobladder N/A Recurrence in few months in right frontal cerebral mass
Groen, et al. [34] BMJ Case Rep, 2017 65/M cT4aN2M1 (pT0N0Mx after neoadjuvant chemotherapy) OIN UIA N/A 108 No TR+ conversion to ileal conduit CHT and retroperitoneal lymph one year after urinary diversion TCC pT2b, N1, grade 3 No 24
Doshi et al. [35] Case Rep Urol. 2019 71/M pT3aN0 + CIS OIN UD PC 132 No TR+ conversion to ileal conduit CHT (after cystectomy) TCC HG extending into the surrounding fat N/A N/A

OIN – orthotopic ileal neobladder; SCN – sigmoid colon neobladder; IC – Ileal Conduit; GE – gross hematuria; PC – positive urine cytology; UTI – urinary tract infection; N/A – not available; UIA – ureteroileal anastomosis; UD – recurrence with the urinary diversion, away from both ureteroileal anastomoses; CHT – chemotherapy, RT – radiation therapy; NUT– nephroureterectomy; TR – total resection of the neobladder (with the mesentery); PR – partial resection; HG – high-grade; TCC – transitional cell carcinoma