ABSTRACT
Twenty-four inguinal biopsies were performed in 16 patients with invasive squamous cell carcinoma of the penis. All patients had suspicion of inguinal metastatic involvement. Five patients (31.25%) had inguinal lymph nodes involved with tumor. Among 11 patients with negative biopsies, 8 were evaluated during careful follow-up. Only 3 patients remained free of tumor at 57.61 and 80 months respectively after negative biopsy.
Subject(s)
Biopsy , Carcinoma, Squamous Cell/pathology , Lymph Nodes/pathology , Penile Neoplasms/pathology , Carcinoma, Squamous Cell/secondary , Carcinoma, Squamous Cell/surgery , Disease-Free Survival , Follow-Up Studies , Humans , Inguinal Canal , Lymph Node Excision , Lymphatic Metastasis/pathology , Male , Neoplasm Invasiveness , Neoplasm Staging , Penile Neoplasms/surgery , Survival RateABSTRACT
We report a case of delayed uretero-ureterocolic fistula after radical cystectomy with bladder substitution. This unusual late complication occurred 10 months postoperatively. The patient developed metabolic hyperchloremic acidosis. Progressively urinary volume diminished and finally the patient stopped to void physiologically. The complex urinary fistula had to be corrected surgically.