Peristomal pagetoid spread of urothelial carcinoma of the ureter

• Main Authors: Fumio Ito, Ken Kihara, Koh Shiomi, Sumiko Ishizaki, Masaru Tanaka, Motohiko Aiba, Mariko Fujibayashi, Hayakazu Nakazawa
• Format: Article
• Language: English
• Published: SAGE Publishing 2013-09-01
• Series: Rare Tumors
• Subjects: urothelial carcinoma, secondary Paget’s disease, peristomal complication
• Online Access: http://www.pagepress.org/journals/index.php/rt/article/view/4809
• ISSN: 2036-3605; 2036-3613

Patients with ostomy including urinary stoma often develop peristomal complications, especially skin damage. The patient in this case was a 69-year old female with a history of urothelial carcinoma of the bladder and left ureter who underwent transurethral resection of a bladder tumor, nephroureterectomy and cystectomy combined with ureterocutaneostomy. Later, she had recurrence of urothelial carcinoma in the remaining ureter that spread to the peristomal epidermis, with a skin appearance resembling Paget’s disease. We report this case based on its clinical significance since we believe it is the first description of this condition in the literature.