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Orthotopic ileal neobladder reconstruction in a woman who developed squamous cell carcinoma of the urinary bladder after kidney transplantation

Abstract

The case of a 62-year-old woman who developed squamous cell carcinoma of the bladder 16 years after a kidney transplant is reported here. After the transplant, immunosuppressive therapy was maintained with cyclosporin A (200 mg/day) and the patient’s serum creatinine level was 0.9 mg/dL. She was diagnosed with squamous cell carcinoma of the bladder 16 years later and underwent radical cystectomy with an orthotopic ileal neobladder. The Studer technique was used and the afferent ileal loop was anastomosed to the graft ureter. The postoperative course was uneventful. At the 6-month follow-up visit, the patient showed no evidence of recurrence. Her serum creatinine level was 1.0 mg/dL. The patient was continent during the day and the night. This case shows that the construction of an orthotopic ileal neobladder after cystectomy is safe and feasible in kidney transplant recipients.

Tumori 2011; 97(5): e20 - e23

Article Type: CASE REPORT

DOI:10.1700/989.10732

Authors

Kyung Chul Moon, Hyun Soo Ahn, Sun Ho Min, Hyung Suk Kim, Ja Hyeon Ku

Article History

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Authors

  • Moon, Kyung Chul [PubMed] [Google Scholar]
    Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
  • Ahn, Hyun Soo [PubMed] [Google Scholar]
    Department of Urology, Seoul National University College of Medicine, Seoul, Korea
  • Min, Sun Ho [PubMed] [Google Scholar]
    Department of Urology, Seoul National University College of Medicine, Seoul, Korea
  • Kim, Hyung Suk [PubMed] [Google Scholar]
    Department of Urology, Seoul National University College of Medicine, Seoul, Korea
  • Ku, Ja Hyeon [PubMed] [Google Scholar]
    Department of Urology, Seoul National University College of Medicine, Seoul, Korea

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