Full title:

Oncology outcome of Anterior exenteration with Ileal Conduit in a 30 year old Unmarried female

Dr. Pednekar A , Dr. Yuvaraja. T. B, Dr. Waingankar S. , Dr. Wagaskar V.

Abstract:

AIM

We put forward the result of  oncologic and urinary outcomes after anterior exenteration for urothelial cell carcinoma in a young unmarried  female, identifying tumor characteristics associated with female pelvic organ involvement. 

Materials and Methods

30 year old female, who presented  with complaints of gross Hematuria-  initially painless, associated with clots but not with tissue bits since 2 months. Underwent  TURBT with deep muscle biopsy on 9/8/2017. Frozen section report was high grade urotherlial cell carcinoma showing extensive squamous differentiation and detrustor involvement . Underwent Laparoscopic (Robotic assisted) anterior exenteration with ileal conduit and bilateral pelvic Lymphnode dissection on 14/8/2017. 

Results

Histopathology report was High grade squamous carcinoma involving right posterolateral wall of urinary bladder.

Tumour infiltrates deeply detrusor muscle (pT2b).

Perineural invasion  seen.

Endometrium, Myometrium  was beningn,

 Cervix shows chronic cervicitis and nabothian cysts - free of tumour.

Anterior vaginal cuff is free of tumour. Bilateral fallopian tubes are unremarkable.

All Lymphnodes are negative. 

Pathological stage : pT2bN0Mx (AJCC 7th edition)

Conclusions

In this Video, a 30-year-old woman with bladder cancer is presented.  The diagnosis was made by cystoscopy + Transurethral resection of bladder tumour and  CT scan.  But due to  The Risk of Urethral Tumors in Female Bladder Cancer, only ileal conduit was done.