Cancer of the large intestine--a sequela of ureterosigmoidostomy
Schwab, A.; Merkle, P.; Bader, H.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 57(6): 394-396
1986
ISSN/ISBN: 0009-4722 PMID: 3017643 Document Number: 282634
Carcinoma or polyps of the colon as a late complication of ureterosigmoidostomia (USS) have been reported with increasing frequency. Three patients are presented, two of them developed a signet-ring cell carcinoma after USS; one patient showed, 6 years after rediversion of the ureter, a carcinoma at the anastomotic site. Changes in the secretion patterns of sialo- and sulphomucines of the tumor and mucosa are histochemically demonstrated and, together with an appraisal of etiologic factors, discussed. We suggest a careful follow-up of patients with USS, particularly of those performed many years ago.