PMC5726746_01
Initial finding of tubulovillous adenoma of pouch on biopsy with hematoxylin-eosin stain.
gr1.jpg
PMC5726746_01_gr1.jpg
fig1
Because the patient had several significant medical comorbidities, including severe coronary artery disease, that precluded an open operative resection, he underwent endoscopic resection of the tumor (Fig. 1).
CT scan showing recurrent polypoid mass in right lower quadrant urinary pouch as noted by the arrow.
gr2.jpg
PMC5726746_01_gr2.jpg
fig2
At year 4 of follow-up, a computed tomography (CT) scan and pouchoscopy showed a recurrent mass within the urinary diversion pouch (Fig. 2).
Resection of portion of large bowel within Indiana pouch diversion showing moderately differentiated enteric type adenocarcinoma on hematoxylin-eosin stain.
gr3.jpg
PMC5726746_01_gr3.jpg
fig3
Final pathology returned as pT3 (3.6 cm) adenocarcinoma with negative surgical margins and with lymphovascular invasion noted (Fig. 3).