Plasmacytoid urothelial carcinoma of the bladder

Plasmacytoid urothelial carcinoma (PUC) of the urinary bladder is an uncommon and aggressive variant of urothelial carcinoma associated with late presentation and poor prognosis. Immunohistochemical examination showing expression of epithelial markers, CD138, and losing the membranous expression of...

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Main Authors: Meihua Qin, Gangping Wang, Yanqing Sun, Qun He
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=320;epage=322;aulast=Qin
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author Meihua Qin
Gangping Wang
Yanqing Sun
Qun He
author_facet Meihua Qin
Gangping Wang
Yanqing Sun
Qun He
author_sort Meihua Qin
collection DOAJ
description Plasmacytoid urothelial carcinoma (PUC) of the urinary bladder is an uncommon and aggressive variant of urothelial carcinoma associated with late presentation and poor prognosis. Immunohistochemical examination showing expression of epithelial markers, CD138, and losing the membranous expression of E-cadherin confirms evidence of PUC. Here, we report a case of bladder PUC of a 74-year-old male who presented with hematuria. A transurethral biopsy revealed urothelial carcinoma with plasmacytoid appearance. The diagnostic dilemmas of this unusual variant of urothelial malignancy and its clinical impact are discussed. The pathological diagnosis was PUC (High-grade, pT4N2M0) with diffuse muscle, small tracts, and vascular invasion, in which almost of the areas studied on the tissue section showed Plasmacytoid differentiation.
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spelling doaj.art-4a8889024bb34868a5762800176df9082022-12-21T18:51:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292014-01-0157232032210.4103/0377-4929.134730Plasmacytoid urothelial carcinoma of the bladderMeihua QinGangping WangYanqing SunQun HePlasmacytoid urothelial carcinoma (PUC) of the urinary bladder is an uncommon and aggressive variant of urothelial carcinoma associated with late presentation and poor prognosis. Immunohistochemical examination showing expression of epithelial markers, CD138, and losing the membranous expression of E-cadherin confirms evidence of PUC. Here, we report a case of bladder PUC of a 74-year-old male who presented with hematuria. A transurethral biopsy revealed urothelial carcinoma with plasmacytoid appearance. The diagnostic dilemmas of this unusual variant of urothelial malignancy and its clinical impact are discussed. The pathological diagnosis was PUC (High-grade, pT4N2M0) with diffuse muscle, small tracts, and vascular invasion, in which almost of the areas studied on the tissue section showed Plasmacytoid differentiation.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=320;epage=322;aulast=QinCD138E-cadherinplasmacytoidurothelial carcinoma
spellingShingle Meihua Qin
Gangping Wang
Yanqing Sun
Qun He
Plasmacytoid urothelial carcinoma of the bladder
Indian Journal of Pathology and Microbiology
CD138
E-cadherin
plasmacytoid
urothelial carcinoma
title Plasmacytoid urothelial carcinoma of the bladder
title_full Plasmacytoid urothelial carcinoma of the bladder
title_fullStr Plasmacytoid urothelial carcinoma of the bladder
title_full_unstemmed Plasmacytoid urothelial carcinoma of the bladder
title_short Plasmacytoid urothelial carcinoma of the bladder
title_sort plasmacytoid urothelial carcinoma of the bladder
topic CD138
E-cadherin
plasmacytoid
urothelial carcinoma
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=2;spage=320;epage=322;aulast=Qin
work_keys_str_mv AT meihuaqin plasmacytoidurothelialcarcinomaofthebladder
AT gangpingwang plasmacytoidurothelialcarcinomaofthebladder
AT yanqingsun plasmacytoidurothelialcarcinomaofthebladder
AT qunhe plasmacytoidurothelialcarcinomaofthebladder