About this Journal Submit a Manuscript Table of Contents
Case Reports in Oncological Medicine
Volume 2012 (2012), Article ID 142351, 3 pages
http://dx.doi.org/10.1155/2012/142351
Case Report

Bladder Cancer in an Inguinoscrotal Vesical Hernia

Servicio de Urología, Hospital General Universitario Vall d'Hebron, Pg. De la Vall d'Hebron 119-129, 08035 Barcelona, Spain

Received 6 July 2012; Accepted 8 October 2012

Academic Editors: Y.-J. Chen, A. Goodman, G. Gruber, and Y. Yamada

Copyright © 2012 Lucas Regis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the case of a 79-year-old male who, due to hematuria, underwent cystoscopy that showed a lesion in the bladder dome. Transurethral resection was attempted, but access to the tumor by this route was impossible. Given the findings, a body CT scan was performed showing an inguinoscrotal hernia with vesical carcinoma contained. Open surgical treatment of the vesical carcinoma contained within the inguinoscrotal hernia was performed in conjunction with the hernia repair. The anatomical pathology report confirmed a high-grade urothelial carcinoma (stage pT2b) with a free resection margin of <1 mm. Adjuvant radiotherapy was selected for subsequent treatment. The presence of bladder tumor in an inguinoscrotal hernia is an uncommon finding and a diagnostic delay can be assumed. The initial therapeutic plan may need to be changed from the usual approaches due to the atypical presentation.