Squamous Cell Carcinoma Arising From Suprapubic Cystostomy Tract Along With Bladder Involvement

Abstract

Introduction: Squamous cell carcinoma (SCC) is the second most common type of bladder malignancy, even though accounts for only 5% cases. SCC is even more rarely reported arising from suprapubic cystostomy tract. Case Report: We report a case of a 68 year old male patient who presented with squamous cell carcinoma of the suprapubic tract along with involvement of the urinary bladder. He presented with a suprapubic urinary fistula. His initial suprapubic cystostomy was placed 20 years ago. The patient received palliative radiotherapy but died after four months due to progressive disease. Conclusion: The SCC in this case was thought to arise from chronic irritation of the suprapubic cystostomy. Physicians and patients should pay careful attention to such long-term indwelling catheter use, especially skin changes around the suprapubic cystostomy.