@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}},
}