XXXX associated with long term suprapubic tube: a case report.

@entity1 @entity1688 @entity32 @entity1494 @entity5 @entity957 @entity150 @entity1566 @entity811 @entity420
BACKGROUND: Chronic indwelling catheters may induce histologic changes within the bladder, and these changes are sometimes pre-malignant. There are many documented cases of @entity957 associated with indwelling catheters, but only three cases of catheter-associated @entity420 have been reported. In this case report, we present radiographic findings of a case of mucinous @entity1494 and suprapubic (SP) tract in a @entity1688 @entity1 . CASE PRESENTATION: A 71-year-old male with a history of @entity1566 presented with @entity811 and SP discharge after SP catheterization for 51  years. CT urography was performed and revealed an irregular, infiltrative, and heterogeneous mass arising from the anterior bladder at the level of the suprapubic catheter and extending along the SP tube tract. Cystoscopy and biopsy revealed an @entity150 with extensive associated mucin production and a background of @entity32 . Surgical therapy included cystoprostatectomy, abdominal wall resection, ileal conduit creation, and abdominal wall reconstruction. The final diagnosis was a high-grade, T2a/N0/M0 (Stage II) mucinous @entity1494 . There has been no evidence of @entity5 recurrence over the previous 5  years. CONCLUSION: Few cases of @entity420 associated with long term indwelling catheter have been reported in the literature, and due to the rarity of this disease process, the prognosis with surgical therapy is not well known. The @entity1 described herein has been free of recurrence for the previous five years, suggesting that surgery is a viable management option for these @entity1 .
