Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy
Abstract. Ureterosigmoidostomy was commonly utilized as a procedure for continent urinary diversion. However, ureterosigmoidostomy is associated with complications such as infection, electrolyte disturbances, and neoplasia development. A 40-year-old Caucasian male presented with acute left flank pai...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-12-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000045 |
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| _version_ | 1850187104049430528 |
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| author | Mike Swindle Austin Fernstrum Timmie Sharma Kirtishri Mishra Laura Bukavina Megan Prunty Donald Bodner |
| author_facet | Mike Swindle Austin Fernstrum Timmie Sharma Kirtishri Mishra Laura Bukavina Megan Prunty Donald Bodner |
| author_sort | Mike Swindle |
| collection | DOAJ |
| description | Abstract. Ureterosigmoidostomy was commonly utilized as a procedure for continent urinary diversion. However, ureterosigmoidostomy is associated with complications such as infection, electrolyte disturbances, and neoplasia development. A 40-year-old Caucasian male presented with acute left flank pain. Past medical history was significant for bladder exstrophy for which ureterosigmoidostomy urinary diversion was performed during childhood. On physical exam, multiple circular erythematous patches were scattered across the forearms that had been presented for 2 years. Cross-sectional imaging demonnttated an ill-defined mass at the site of ureteral implantation with associated severe left hydroureteronephrosis. Endoscopy revealed a mass at the site of ureteral implantation and biopsy demonstrated invasive, poorly differentiated adenocarcinoma. The dermatosis was diagnosed as interstitial granulomatous dermatitis, a rare inflammatory skin condition associated with underlying autoimmune disease or malignancy. Patient elected operative management with left nephrectomy, sigmoidectomy, and ileal conduit diversion. Ihis case demonnttates a rare presentation of cutaneous paraneoplastic syndrome after development of colon cancer after ureterosigmoidostomy. Ureterooolonic urinary diversion has a demonnttaaie risk of neoplasia development at the anastomotic site, requiring routine endoscopic surveillance. |
| format | Article |
| id | doaj-art-b348a1edb0a044ca81506063366e277e |
| institution | OA Journals |
| issn | 1661-7649 1661-7657 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Current Urology |
| spelling | doaj-art-b348a1edb0a044ca81506063366e277e2025-08-20T02:16:10ZengWolters Kluwer HealthCurrent Urology1661-76491661-76572024-12-0118434734910.1097/CU9.0000000000000045202412000-00020Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomyMike Swindle0Austin Fernstrum1Timmie Sharma2Kirtishri Mishra3Laura Bukavina4Megan Prunty5Donald Bodner6a Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAa Case Western Reserve University School of Medicine, Cleveland, OH, USAAbstract. Ureterosigmoidostomy was commonly utilized as a procedure for continent urinary diversion. However, ureterosigmoidostomy is associated with complications such as infection, electrolyte disturbances, and neoplasia development. A 40-year-old Caucasian male presented with acute left flank pain. Past medical history was significant for bladder exstrophy for which ureterosigmoidostomy urinary diversion was performed during childhood. On physical exam, multiple circular erythematous patches were scattered across the forearms that had been presented for 2 years. Cross-sectional imaging demonnttated an ill-defined mass at the site of ureteral implantation with associated severe left hydroureteronephrosis. Endoscopy revealed a mass at the site of ureteral implantation and biopsy demonstrated invasive, poorly differentiated adenocarcinoma. The dermatosis was diagnosed as interstitial granulomatous dermatitis, a rare inflammatory skin condition associated with underlying autoimmune disease or malignancy. Patient elected operative management with left nephrectomy, sigmoidectomy, and ileal conduit diversion. Ihis case demonnttates a rare presentation of cutaneous paraneoplastic syndrome after development of colon cancer after ureterosigmoidostomy. Ureterooolonic urinary diversion has a demonnttaaie risk of neoplasia development at the anastomotic site, requiring routine endoscopic surveillance.http://journals.lww.com/10.1097/CU9.0000000000000045 |
| spellingShingle | Mike Swindle Austin Fernstrum Timmie Sharma Kirtishri Mishra Laura Bukavina Megan Prunty Donald Bodner Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy Current Urology |
| title | Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| title_full | Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| title_fullStr | Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| title_full_unstemmed | Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| title_short | Cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| title_sort | cutaneous paraneoplastic presentation of colon cancer in a patient with history of ureterosigmoidostomy |
| url | http://journals.lww.com/10.1097/CU9.0000000000000045 |
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