Skin flap squamous cell carcinoma developed after urethroplasty

  • Danilo Abate Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.
  • Giuseppe Giusti Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.
  • Nicola Caria | nicolacaria1@gmail.com Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.
  • Giuseppe De Vita Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.
  • Marco Lucci Chiarissi Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.
  • Antonello De Lisa Clinica Urologica, Università degli Studi di Cagliari, Ospedale SS. Trinità, Cagliari, Italy.

Abstract

Objectives: To describe our experience in diagnosis and treatment of urethral carcinoma following urethroplasty with a Orandi penile skin flap.
Material and methods: Our patient underwent to Orandi penile skin flap urethroplasty then developed a urethral epidermoid carcinoma on the flap approximately 15 years later. We treated this case with a partial penectomy surgery and perineostomy. Surgery was followed by chemotherapy with cisplatin and 5-fluorouracil. The progression of the disease led to a salvage surgery of total penectomy and asportation of testicles and scrotum.
Results: Despite the success of the surgery, the disease progressed and three months after the last surgical operation the patient died.
Conclusions: Urethral carcinoma on skin flap is a rare complication of the urethroplasty surgery but with severe consequences, so we recommend to undertake a long-term urological follow up in patients undergone such kind of surgery.

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Published
2018-06-30
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Issue
Section
Case Reports - Oncology
Keywords:
Skin flap, Squamous cell carcinoma, Urethroplasty
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  • PDF: 217
How to Cite
Abate, D., Giusti, G., Caria, N., De Vita, G., Lucci Chiarissi, M., & De Lisa, A. (2018). Skin flap squamous cell carcinoma developed after urethroplasty. Archivio Italiano Di Urologia E Andrologia, 90(2), 141-142. https://doi.org/10.4081/aiua.2018.2.141

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