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首页> 外文期刊>Nature clinical practice:Urology >A case of relapsing secondary bladder adenocarcinoma after right colonic cancer.
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A case of relapsing secondary bladder adenocarcinoma after right colonic cancer.

机译：右结肠癌术后复发性继发性膀胱腺癌1例。

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BACKGROUND: A 71-year-old woman was referred to a surgical oncology clinic after CT raised suspicion for a bladder neoplasm. She had previously undergone right hemicolectomy and received adjuvant chemotherapy for pT3N1MX cancer of the cecum. A retroperitoneal recurrence had been deemed unsuitable for surgical resection, and had instead been treated with chemoradiation therapy. Follow-up CT raised suspicion for a possible bladder neoplasm. INVESTIGATIONS: CT, physical examination, urinalysis, cystoscopy with biopsy, pathological analysis and immunohistochemical analysis. DIAGNOSIS: Adenocarcinoma of the cecum metastatic to the bladder. MANAGEMENT: The patient underwent open bladder resection with total excision of the neoplasm and was administered adjuvant chemotherapy consisting of irinotecan and cetuximab. Subsequent recurrences at the same site were treated with transurethral resection, while chemotherapy was still in progress. At 7 months' follow-up, the patient remained alive, with no evidence of further recurrence.
机译：背景：一名71岁的妇女因CT怀疑患有膀胱肿瘤而被转诊至肿瘤外科诊所。她先前接受了右半结肠切除术，并接受了针对盲肠pT3N1MX癌症的辅助化疗。腹膜后复发被认为不适合手术切除，而是接受了化学放疗。后续CT怀疑可能是膀胱肿瘤。调查：CT，体格检查，尿液分析，带活检的膀胱镜检查，病理分析和免疫组化分析。诊断：盲肠腺癌转移至膀胱。处理：该患者接受了完全切除肿瘤的开放性膀胱切除术，并接受了由伊立替康和西妥昔单抗组成的辅助化疗。随后经同一尿道切除术在同一部位复发，而化疗仍在进行中。随访7个月，患者仍然存活，没有进一步复发的迹象。

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