Primary Adenocarcinoma in the Urethrorectal Fistula |
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| Authors: | Ryuji Takaki Tsutomu Nishiyama Masao Sekiya Shin Ishizawa Akira Junicho Yoshiyuki Fujishiro Yutaka Yabuzaki |
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| Affiliation: | Departments of Urology, Niigata Rosai Hospital, Joetsu, Japan;Surgery, Niigata Rosai Hospital, Joetsu, Japan;department of Urology, Nagaoka Chuo General Hospital, Nagaoka, Japan;Department of Pathology, Niigata Prefectural Chuo Hospital, Joetsu, Japan. |
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| Abstract: | A 60-year-old Japanese man was hospitalized because of urinary leakage from the anus on October 3, 1994. Retrograde urethrography detected a fistula between the bulbous urethra and the rectum. Urethrocystoscopy revealed a tumor on the urethrorectal fistula. Tumor biopsy showed a well differentiated adenocarcinoma. Cystourethrectomy with fistulectomy, and ileal conduit urinary diversion were performed. Pathological examination revealed primary adenocarcinoma in the fistula with invasion to the prostatic urethra and bladder wall. The patient showed no evidence of a recurrence as of August, 1996. |
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| Keywords: | primary adenocarcinoma urethrorectal fistula cystourethrectomy with fistulectomy |
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