Synchronous primary tumors of the bladder: Successfully managed case
The coexistence of 2 primary bladder tumors of different histogenesis is very rare. Synchronous leiomyosarcoma LMS of the bladder and urothelial carcinoma are even rarer. We report here the case of a 48-year-old patient who presented with hematuria and symptoms of bladder irritation. Cystoscopy show...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322005659 |
| _version_ | 1798036773856608256 |
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| author | Farah Boutaggount, MD Meryem Maskrout, MD Rania Mokfi, MD Ghizlane Rais, MD |
| author_facet | Farah Boutaggount, MD Meryem Maskrout, MD Rania Mokfi, MD Ghizlane Rais, MD |
| author_sort | Farah Boutaggount, MD |
| collection | DOAJ |
| description | The coexistence of 2 primary bladder tumors of different histogenesis is very rare. Synchronous leiomyosarcoma LMS of the bladder and urothelial carcinoma are even rarer. We report here the case of a 48-year-old patient who presented with hematuria and symptoms of bladder irritation. Cystoscopy showed a superficial bladder tumor which occupies the entire bladder lumen. Transurethral resection of bladder tumor (TURBT) was performed and revealed a noninvasive low-grade papillary urothelial carcinoma pTa with nonvisualized muscularis. A second TURBT could not remove any muscle. The decision for a radical cystectomy was performed with Bricker derivation and pelvic lymph node dissection to control bleeding. The final pathology demonstrated concurrent urothelial carcinoma and leiomyosarcoma LMS. In this report, we presented a unique case of urinary bladder leiomyosarcoma with noninvasive urothelial carcinoma. The rarity of this association and its clinical similarity to other common tumors, including infiltrative urothelial tumors, leading to misdiagnosis, are also described. |
| first_indexed | 2024-04-11T21:17:36Z |
| format | Article |
| id | doaj.art-756f1849392f4fd2b95cbf0d7ff10677 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-11T21:17:36Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-756f1849392f4fd2b95cbf0d7ff106772022-12-22T04:02:46ZengElsevierRadiology Case Reports1930-04332022-10-01171039823986Synchronous primary tumors of the bladder: Successfully managed caseFarah Boutaggount, MD0Meryem Maskrout, MD1Rania Mokfi, MD2Ghizlane Rais, MD3Corresponding author at: N 90, Rue Abou Al Abass Sebti, Quartier Assafae Agadir.; Medical Oncology Department, Faculty of Medicine and Pharmacy of Agadir, Souss Massa University Hospital Centre, University Ibn Zohr, Agadir, MoroccoMedical Oncology Department, Faculty of Medicine and Pharmacy of Agadir, Souss Massa University Hospital Centre, University Ibn Zohr, Agadir, MoroccoMedical Oncology Department, Faculty of Medicine and Pharmacy of Agadir, Souss Massa University Hospital Centre, University Ibn Zohr, Agadir, MoroccoMedical Oncology Department, Faculty of Medicine and Pharmacy of Agadir, Souss Massa University Hospital Centre, University Ibn Zohr, Agadir, MoroccoThe coexistence of 2 primary bladder tumors of different histogenesis is very rare. Synchronous leiomyosarcoma LMS of the bladder and urothelial carcinoma are even rarer. We report here the case of a 48-year-old patient who presented with hematuria and symptoms of bladder irritation. Cystoscopy showed a superficial bladder tumor which occupies the entire bladder lumen. Transurethral resection of bladder tumor (TURBT) was performed and revealed a noninvasive low-grade papillary urothelial carcinoma pTa with nonvisualized muscularis. A second TURBT could not remove any muscle. The decision for a radical cystectomy was performed with Bricker derivation and pelvic lymph node dissection to control bleeding. The final pathology demonstrated concurrent urothelial carcinoma and leiomyosarcoma LMS. In this report, we presented a unique case of urinary bladder leiomyosarcoma with noninvasive urothelial carcinoma. The rarity of this association and its clinical similarity to other common tumors, including infiltrative urothelial tumors, leading to misdiagnosis, are also described.http://www.sciencedirect.com/science/article/pii/S1930043322005659LeiomyosarcomaUrothelial carcinomaBladder |
| spellingShingle | Farah Boutaggount, MD Meryem Maskrout, MD Rania Mokfi, MD Ghizlane Rais, MD Synchronous primary tumors of the bladder: Successfully managed case Radiology Case Reports Leiomyosarcoma Urothelial carcinoma Bladder |
| title | Synchronous primary tumors of the bladder: Successfully managed case |
| title_full | Synchronous primary tumors of the bladder: Successfully managed case |
| title_fullStr | Synchronous primary tumors of the bladder: Successfully managed case |
| title_full_unstemmed | Synchronous primary tumors of the bladder: Successfully managed case |
| title_short | Synchronous primary tumors of the bladder: Successfully managed case |
| title_sort | synchronous primary tumors of the bladder successfully managed case |
| topic | Leiomyosarcoma Urothelial carcinoma Bladder |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322005659 |
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