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Plasmacytoid urothelial carcinoma of the bladder: a case report

机译:膀胱浆细胞样尿路上皮癌:一例报告

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Plasmacytoid bladder cancer is a rare variant of transitional cell carcinoma. A 57-year-old man was referred to our institution for management of invasive transitional cell carcinoma diagnosed at a peripheral hospital. His complaints were of vague lower abdominal pain with associated urgency and frequency requiring oxybutynin. Metastatic workup was negative and was subsequently scheduled for a radical cystectomy. Routine colonoscopy 3 weeks prior to surgery was negative. Intraoperatively, he was found to have metastatic urothelial cancer involving the cecum and multiple metastatic deposits within the mesentery of the small intestines. He underwent a palliative cystectomy with ileal conduit formation. Final pathology revealed metastatic plasmacytoid variant of urothelial cancer. Histology and immunohistochemistry were compatible with plasmacytoid variant of urothelial cancer. Here we present our case of this rare variant of urothelial cancer with a review of its characteristics.
机译:浆细胞样膀胱癌是移行细胞癌的罕见变体。一名57岁的男子被转介到我们的机构,负责管理在周边医院诊断出的浸润性移行细胞癌。他的抱怨是下腹部疼痛隐约,伴有尿急和奥昔布宁的尿急和尿频。转移检查阴性,随后计划行根治性膀胱切除术。手术前3周常规结肠镜检查为阴性。术中发现他患有转移性尿路上皮癌,涉及盲肠和小肠系膜内的多处转移性沉积物。他接受了回肠导管形成的姑息性膀胱切除术。最终病理显示尿路上皮癌转移性浆细胞样变体。组织学和免疫组化与尿路上皮癌的浆细胞样变体相容。在这里,我们介绍了这种罕见的尿路上皮癌变体的情况及其特征。

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