Flat adenomas in a colonic bladder augmentation patch: cystoscopic removal using an endoscopic mucosal resection technique.

@article{Elphick2008FlatAI,
  title={Flat adenomas in a colonic bladder augmentation patch: cystoscopic removal using an endoscopic mucosal resection technique.},
  author={David A Elphick and Paul R Tophill and Simon Kim Suvarna and Stuart A. Riley},
  journal={Urology},
  year={2008},
  volume={72 1},
  pages={230.e1-3}
}
Bladder augmentation using colonic patches is being increasingly performed and a substantial risk of neoplasia in such patches has been reported. We present the case of a 62-year-old man who developed a large flat adenoma in the colonic mucosa of an augmented bladder. The adenoma was indigo-carmine dye sprayed and completely resected via a cystoscope using an endoscopic mucosal resection technique. We discuss how methods used at colonoscopy to detect and remove early neoplastic lesions may… CONTINUE READING