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Secondary Colonic Adenocarcinoma After Continent Cutaneous Urinary Diversion a.m. Lundiana—An Aggressive Disease Entity With High Risk of Locally Advanced Disease and Metastases

Liedberg, Fredrik LU ; Bläckberg, Mats LU and Bobjer, Johannes LU (2026) In IJU Case Reports 9(3).
Abstract

Introduction: We herein report two patients developing secondary adenocarcinomas arising in colonic segments used for urinary diversion a.m. Lundiana in a population-based series 16 and 27 years after cystectomy, respectively. Case Presentation: Following initial partial resection of the pouch, both patients experienced local recurrence; one subsequently developed distant metastases and died from secondary adenocarcinoma, whereas the other patient underwent extirpation of the pouch and re-diversion with an ileal conduit. Conclusions: Based on these patients, upfront radical surgery would have been a more effective treatment. In this patient population, clinical awareness but not screening for secondary adenocarcinomas seems to be the... (More)

Introduction: We herein report two patients developing secondary adenocarcinomas arising in colonic segments used for urinary diversion a.m. Lundiana in a population-based series 16 and 27 years after cystectomy, respectively. Case Presentation: Following initial partial resection of the pouch, both patients experienced local recurrence; one subsequently developed distant metastases and died from secondary adenocarcinoma, whereas the other patient underwent extirpation of the pouch and re-diversion with an ileal conduit. Conclusions: Based on these patients, upfront radical surgery would have been a more effective treatment. In this patient population, clinical awareness but not screening for secondary adenocarcinomas seems to be the most appropriate strategy.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adenocarcinoma, continent cutaneous pouch, Lundiana, urinary diversion
in
IJU Case Reports
volume
9
issue
3
article number
e70186
publisher
John Wiley & Sons Inc.
external identifiers
  • scopus:105037952091
  • pmid:42058582
DOI
10.1002/iju5.70186
language
English
LU publication?
yes
id
d29893c6-e310-420b-a385-3d4bfda7e190
date added to LUP
2026-08-12 11:55:24
date last changed
2026-08-26 12:53:23
@article{d29893c6-e310-420b-a385-3d4bfda7e190,
  abstract     = {{<p>Introduction: We herein report two patients developing secondary adenocarcinomas arising in colonic segments used for urinary diversion a.m. Lundiana in a population-based series 16 and 27 years after cystectomy, respectively. Case Presentation: Following initial partial resection of the pouch, both patients experienced local recurrence; one subsequently developed distant metastases and died from secondary adenocarcinoma, whereas the other patient underwent extirpation of the pouch and re-diversion with an ileal conduit. Conclusions: Based on these patients, upfront radical surgery would have been a more effective treatment. In this patient population, clinical awareness but not screening for secondary adenocarcinomas seems to be the most appropriate strategy.</p>}},
  author       = {{Liedberg, Fredrik and Bläckberg, Mats and Bobjer, Johannes}},
  keywords     = {{adenocarcinoma; continent cutaneous pouch; Lundiana; urinary diversion}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{IJU Case Reports}},
  title        = {{Secondary Colonic Adenocarcinoma After Continent Cutaneous Urinary Diversion a.m. Lundiana—An Aggressive Disease Entity With High Risk of Locally Advanced Disease and Metastases}},
  url          = {{http://dx.doi.org/10.1002/iju5.70186}},
  doi          = {{10.1002/iju5.70186}},
  volume       = {{9}},
  year         = {{2026}},
}