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EXSTROPHY OF THE BLADDER COMPLICATED BY CARCINOMA

EXSTROPHY OF THE BLADDER COMPLICATED BY CARCINOMA Abstract Carcinoma complicating exstrophy of the bladder is rare; we have noted reports of only nineteen cases in the literature, two of which were reported by Scholl1 from the Mayo Clinic. We are adding one case (case 1) which has not been reported previously. So far as we know, cure has not been reported following treatment. In two cases at the Mayo Clinic, however, the patients have remained well for three and six and a half years, respectively, following surgical treatment. EMBRYOLOGY It is assumed that the fertilized human embryo, by processes of growth and cell division, soon becomes a solid mass of cells, the morula. The peripheral cells of the morula differentiate and thus form a distinct enveloping layer of cuboidal cells2 (fig. 1 A). Vacuoles which appear within the enclosed mass of cells coalesce to form a single cavity within the enveloping layer. This cavity corresponds to References 1. Scholl, A. J.: The Potential Malignancy in Exstrophy of the Bladder , Ann. Surg. 75:365, 1922.Crossref 2. Bailey, F. R., and Miller, A. M.: Textbook of Embryology , New York, William Wood and Company, 1923, pp. 84-121. 3. McMurrich, J. P.: Development of the Human Body , ed. 7, Philadelphia, P. Blakiston's Son & Co., 1923, p. 41. 4. Lewis, F. T.: The Early Development of the Entodermal Tract and the Formation of its Subdivisions , in Keibel and Mall: Manual of Human Embryology , Philadelphia, J. P. Lippincott Co., 1912, vol. 2, p. 295. 5. Felix, W.: The Development of the Urinogenital Organs , in Keibel and Mall: Manual of Human Embryology , Philadelphia, J. P. Lippincott Co., 1912, vol. 2, p. 869. 6. Keibel, F.: Zur Entwickelungsgeschichte der Harnblase , Anat. Anz. 6:186, 1891 7. Zur Entwickelungsgeschichte des menschlichen Urogenitalapparates , Arch. f. Anat. u. Entw. , 1896, p. 55. 8. Footnote 5 (second and third references). 9. Piersol, G. A.: Human Anatomy , Philadelphia, J. P. Lippincott & Co., 1923, vol. 2, p. 1909. 10. Bohm, A. A.; von Davidoff, M., and Huber, G. C.: The Pelvis of the Kidney, Ureter and Bladder , in Textbook of Histology , Philadelphia, W. B. Saunders Co., 1916, p. 337. 11. Kölliker, A.: Physiological Remarks: Development of the Urinary Organs , in Manual of Human Histology , London, The Sydenham Society, 1854, vol. 2, p. 208. 12. Von Brunn, A.: Ueber drüsenähnliche Bildungen in der Schleimhaut des Nierenbeckens, des Ureters und der Harnblase beim Menschen , Arch. f. mikr. Anat. 41:294, 1893. 13. Albarran, J.: Les tumeurs de la vessie , Paris, G. Steinheil, 1892, pp. 494. 14. Bridoux, Henri: A Case of Adenoma of the Bladder with Remarks on the Pathology of the Affection , Am. J. Urol. 9:514, 1913. 15. Shattock, S. G.: Specimens of Epispadias and Extroversio Vesicae Showing an Attachment of the Muscular Wall of the Bladder to the Back of the Pubic Bones , Tr. Path. Soc., London , 1894, vol. 45, p. 117. 16. Enderlen, E.: Zur Histologie der Schleimhaut der ektopierten Blase , Verhandl. d. deutsch. path. Gesellsch. 7:167, 1904. 17. Formiggini, Benedetto: Contributo allo studio istologico della mucosa vesicale extrofica , Riforma med. 36:252, 1920. 18. Ehrich, E.: Gallertkrebs der ekstrophierten Harnblase , Beitr. z. klin. Chir. 30:581, 1901. 19. Quoted by Formiggini. 20. Young, H. H.: Practice of Urology , Philadelphia, W. B. Saunders Company, 1926, vol. 1, p. 538 21. vol. 2, p. 63. 22. Hutchins, E. H., and Hutchins, A. F.: Exstrophy of Bladder with Successful Transplantation of Ureters into Rectum , Surg. Gynec. Obst. 36:731, 1923. 23. Bon and Duncan, A., quoted by Hutchins and Hutchins. 24. Kelly, H. A., and Burnam, C. F.: Diseases of the Kidney , Ureter and Bladder, New York, D. Appleton & Company, 1914, vol. 2, p. 385. 25. Von Geldern, C. E.: The Etiology of Exstrophy of the Bladder , Arch. Surg. 8:61 ( (part 1) ) (Jan.) 1924.Crossref 26. Johnston, T. B., quoted by von Geldern. 27. Gardner, J. A.: Clinical Results in Operations on Tumors of the Bladder by Various Operators for the Last Fifteen Years (A Review of 1,702 Cases) , Tr. Am. Urol. A. , 1915, vol. 9, p. 165. 28. Verhoogan, J.: Neoplasmes de la vessie , Encycl. franç. d'urol. 4:425, 1921. 29. Keith, A.: Malformations of the Hind End of the Body , Brit. M. J. 2: 1857, 1908.Crossref 30. Hache, Maurice: Pathogénie et variétés de l'exstrophie de la vessie , Rev. de chir. 8:218, 1888. 31. Mayo, C. H.: Exstrophy of the Bladder and its Treatment , J. A. M. A. 69:2079 ( (Dec. 22) ) 1917Crossref 32. Exstrophy of the Bladder , Contribution to Medical and Biologic Research , New York, Paul B. Hoeber, 1920, p. 1095 33. The Formation of a Cloaca in the Treatment of Exstrophy of the Bladder , Surg. Clin. N. Amer. 1:1257, 1921. 34. Mayo, C. H., and Hendricks, W. A.: Exstrophy of the Bladder , Surg. Gynec. Obst. 43:129, 1926. 35. Mayo, C. H., and Walters, Waltman: Transplantation of Ureters into Rectum: End-Results in Thirty-Five Cases of Exstrophy of Bladder , J. A. M. A. 82:624 ( (Feb. 3) ) 1924.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

EXSTROPHY OF THE BLADDER COMPLICATED BY CARCINOMA

Archives of Surgery , Volume 17 (4) – Oct 1, 1928

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American Medical Association
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Copyright © 1928 American Medical Association. All Rights Reserved.
ISSN
0004-0010
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1538-3644
DOI
10.1001/archsurg.1928.01140100111008
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Abstract

Abstract Carcinoma complicating exstrophy of the bladder is rare; we have noted reports of only nineteen cases in the literature, two of which were reported by Scholl1 from the Mayo Clinic. We are adding one case (case 1) which has not been reported previously. So far as we know, cure has not been reported following treatment. In two cases at the Mayo Clinic, however, the patients have remained well for three and six and a half years, respectively, following surgical treatment. EMBRYOLOGY It is assumed that the fertilized human embryo, by processes of growth and cell division, soon becomes a solid mass of cells, the morula. The peripheral cells of the morula differentiate and thus form a distinct enveloping layer of cuboidal cells2 (fig. 1 A). Vacuoles which appear within the enclosed mass of cells coalesce to form a single cavity within the enveloping layer. This cavity corresponds to References 1. Scholl, A. J.: The Potential Malignancy in Exstrophy of the Bladder , Ann. Surg. 75:365, 1922.Crossref 2. Bailey, F. R., and Miller, A. M.: Textbook of Embryology , New York, William Wood and Company, 1923, pp. 84-121. 3. McMurrich, J. P.: Development of the Human Body , ed. 7, Philadelphia, P. Blakiston's Son & Co., 1923, p. 41. 4. Lewis, F. T.: The Early Development of the Entodermal Tract and the Formation of its Subdivisions , in Keibel and Mall: Manual of Human Embryology , Philadelphia, J. P. Lippincott Co., 1912, vol. 2, p. 295. 5. Felix, W.: The Development of the Urinogenital Organs , in Keibel and Mall: Manual of Human Embryology , Philadelphia, J. P. Lippincott Co., 1912, vol. 2, p. 869. 6. Keibel, F.: Zur Entwickelungsgeschichte der Harnblase , Anat. Anz. 6:186, 1891 7. Zur Entwickelungsgeschichte des menschlichen Urogenitalapparates , Arch. f. Anat. u. Entw. , 1896, p. 55. 8. Footnote 5 (second and third references). 9. Piersol, G. A.: Human Anatomy , Philadelphia, J. P. Lippincott & Co., 1923, vol. 2, p. 1909. 10. Bohm, A. A.; von Davidoff, M., and Huber, G. C.: The Pelvis of the Kidney, Ureter and Bladder , in Textbook of Histology , Philadelphia, W. B. Saunders Co., 1916, p. 337. 11. Kölliker, A.: Physiological Remarks: Development of the Urinary Organs , in Manual of Human Histology , London, The Sydenham Society, 1854, vol. 2, p. 208. 12. Von Brunn, A.: Ueber drüsenähnliche Bildungen in der Schleimhaut des Nierenbeckens, des Ureters und der Harnblase beim Menschen , Arch. f. mikr. Anat. 41:294, 1893. 13. Albarran, J.: Les tumeurs de la vessie , Paris, G. Steinheil, 1892, pp. 494. 14. Bridoux, Henri: A Case of Adenoma of the Bladder with Remarks on the Pathology of the Affection , Am. J. Urol. 9:514, 1913. 15. Shattock, S. G.: Specimens of Epispadias and Extroversio Vesicae Showing an Attachment of the Muscular Wall of the Bladder to the Back of the Pubic Bones , Tr. Path. Soc., London , 1894, vol. 45, p. 117. 16. Enderlen, E.: Zur Histologie der Schleimhaut der ektopierten Blase , Verhandl. d. deutsch. path. Gesellsch. 7:167, 1904. 17. Formiggini, Benedetto: Contributo allo studio istologico della mucosa vesicale extrofica , Riforma med. 36:252, 1920. 18. Ehrich, E.: Gallertkrebs der ekstrophierten Harnblase , Beitr. z. klin. Chir. 30:581, 1901. 19. Quoted by Formiggini. 20. Young, H. H.: Practice of Urology , Philadelphia, W. B. Saunders Company, 1926, vol. 1, p. 538 21. vol. 2, p. 63. 22. Hutchins, E. H., and Hutchins, A. F.: Exstrophy of Bladder with Successful Transplantation of Ureters into Rectum , Surg. Gynec. Obst. 36:731, 1923. 23. Bon and Duncan, A., quoted by Hutchins and Hutchins. 24. Kelly, H. A., and Burnam, C. F.: Diseases of the Kidney , Ureter and Bladder, New York, D. Appleton & Company, 1914, vol. 2, p. 385. 25. Von Geldern, C. E.: The Etiology of Exstrophy of the Bladder , Arch. Surg. 8:61 ( (part 1) ) (Jan.) 1924.Crossref 26. Johnston, T. B., quoted by von Geldern. 27. Gardner, J. A.: Clinical Results in Operations on Tumors of the Bladder by Various Operators for the Last Fifteen Years (A Review of 1,702 Cases) , Tr. Am. Urol. A. , 1915, vol. 9, p. 165. 28. Verhoogan, J.: Neoplasmes de la vessie , Encycl. franç. d'urol. 4:425, 1921. 29. Keith, A.: Malformations of the Hind End of the Body , Brit. M. J. 2: 1857, 1908.Crossref 30. Hache, Maurice: Pathogénie et variétés de l'exstrophie de la vessie , Rev. de chir. 8:218, 1888. 31. Mayo, C. H.: Exstrophy of the Bladder and its Treatment , J. A. M. A. 69:2079 ( (Dec. 22) ) 1917Crossref 32. Exstrophy of the Bladder , Contribution to Medical and Biologic Research , New York, Paul B. Hoeber, 1920, p. 1095 33. The Formation of a Cloaca in the Treatment of Exstrophy of the Bladder , Surg. Clin. N. Amer. 1:1257, 1921. 34. Mayo, C. H., and Hendricks, W. A.: Exstrophy of the Bladder , Surg. Gynec. Obst. 43:129, 1926. 35. Mayo, C. H., and Walters, Waltman: Transplantation of Ureters into Rectum: End-Results in Thirty-Five Cases of Exstrophy of Bladder , J. A. M. A. 82:624 ( (Feb. 3) ) 1924.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1928

References