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Journal of Case Reports
Squamous Cell Carcinoma Arising From Suprapubic Cystostomy Tract Along With Bladder Involvement

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Nikhil Ranjan, Rana Pratap Singh, Ahsaan Ahmad, Amit Kumar, Mahendra Singh
Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Corresponding Author:
Dr. Rana Pratap Singh
Email: ranapratapsingh02@gmail.com
Received: 10-MAY-2015 Accepted: 11-JUL-2015 Published Online: 30-JUL-2015
DOI: http://dx.doi.org/10.17659/01.2015.0084
Abstract
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.
Keywords : Squamous Cell Carcinoma, Cystostomy, Urinary Bladder Neoplasms, Catheterization, Urinary Fistula.
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