TITLE:
Sarcomatoid Carcinoma of the Urinary Bladder
AUTHORS:
Kenji Shimodaira, Isao Kuroda, Naohiro Kamoda, Takuya Ishida, Teiichiro Aoyagi, Masaaki Tachibana
KEYWORDS:
Sarcomatoid Carcinoma, Bladder Cancer
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.4,
April
2,
2014
ABSTRACT: The patient was a
62-year-old female with bladder carcinoma. TUR-BT was performed in March 2010,
and the pathological finding was UC, G2 > G1, pTa. However, the cancer
recurred in the urinary bladder 3 months after TUR-BT. Radical cystectomy was
performed, and the disease was considered to have been cured, but metastasis
developed in the skin, lung, liver, and bone several months after surgery.
Chemotherapy was ineffective, and the patient died. On pathological examination
at the time of radical cystectomy, the lesion was sarcomatoid carcinoma of the
urinary bladder. Although the prognosis associated with this carcinoma is known
to be poor, the possibility of underestimation on preoperative staging cannot
be ruled out from the cause, in addition to the insufficiency of the current
therapeutic strategy.