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07 March 2025 : Case report  Japan

Two Cases of Revisional Urinary Diversion from Ureterocutaneostomy to Ileal Conduit: A Staged Urinary Diversion Strategy for Patients with Bladder Cancer in the Targeted and Immunotherapy Era

Unusual setting of medical care

Yuki Tanaka ORCID logo ABCDEF 1, Hideki Takeshita ORCID logo ABCDEF 1*, Kazuki Yokota E 1, Sonin Chon E 1, Kenta Fujii E 1, Ayano Ishida ORCID logo E 1, Masahiro Arai E 1, Kojiro Tachibana ORCID logo E 1, Shoichi Nagamoto ORCID logo E 1, Sachi Kitayama ORCID logo E 1, Yohei Okada ORCID logo E 1, Akihiro Yano ORCID logo E 1, Kawakami Satoru ORCID logo E 1

DOI: 10.12659/AJCR.946924

Am J Case Rep 2025; 26:e946924

Figure 4. Imaging findings of case 2. Arrows indicate the tumors. (A, B) Magnetic resonance imaging (MRI) T2-weighted axial and sagittal images. The tumor is seen extending to the vaginal wall. (C–E) MRI T2-weighted axial image, diffusion-weighted axial image, and T2-weighted sagittal image. The tumor invaded the vagina. (F) Positron emission tomography-computed tomography (CT) maximum intensity projection image. Chemoradiotherapy followed by pembrolizumab resulted in complete remission of the recurrent tumor. No distant metastasis was observed, and a left ureterocutaneoustomy was performed. (G) CT image before surgery. (H) CT image 3 months after surgery. Catheter-free condition.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923