Bladder exstrophy with adenocarcinoma in an adult patient: a case report
Abstract
Bladder exstrophy is rare malformation pathology with an incidence of about 1 in 50,000 newborns. Not treated in time exposes to two main complications: kidney failure and bladder plaque cancer with a risk up to 200 times normal, which usually occurs around the fourth and fifth decade. In 95% it is adenocarcinoma and 5% squamous cell carcinoma. We present a rare case of adenocarcinoma developed on a bladder exstrophy in a 61-year-old patient who underwent an excision of the bladder plate carrying the whole tumor mass with a non-continent urinary diversion type bricker.
L'exstrophie de vessie est une pathologie malformative rare avec une incidence d'un cas pour 50000 naissances. Non traité à temps expose à deux principales complications: l'insuffisance rénale et La cancérisation de la plaque vésicale avec un risque allant jusqu'à 200 fois la normale, qui survient généralement vers la quatrième et la cinquième décennie. Dans 95% il s'agit d'un adénocarcinome et 5% un carcinome épidermoïdes. Nous présentons un cas rare d'adénocarcinome développé sur une exstrophie vésicale chez un patient de 61 ans qui a subi d'une exérèse de la plaque vésicale emportant toute la masse tumorale avec une dérivation urinaire non continente type bricker.
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