Difference between revisions of "Sarcomatoid urothelial carcinoma"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Urothelial carcinoma with sarcomatoid differentiation -- intermed mag.jpg
| Width      =
| Caption    = Sarcomatoid urothelial carcinoma. [[H&E stain]].
| Synonyms  =
| Micro      =
| Subtypes  = (subtype of [[urothelial carcinoma]])
| LMDDx      = [[sarcoma]], [[carcinosarcoma]] - esp. in women, other sarcomatoid carcinomas
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[urothelium]] - [[urinary bladder]], [[ureter]], renal pelvis
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence = very rare
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  = poor
| Other      =
| ClinDDx    =
| Tx        = resection if feasible
}}
'''Sarcomatoid urothelial carcinoma''' (abbreviated '''sarcomatoid UC'''), also '''sarcomatoid urothelial cell carcinoma''' (abbreviated '''sarcomatoid UCC'''), is a rare variant of [[urothelial carcinoma]].<ref name=pmid26068625>{{Cite journal  | last1 = Fatima | first1 = N. | last2 = Canter | first2 = DJ. | last3 = Carthon | first3 = BC. | last4 = Kucuk | first4 = O. | last5 = Master | first5 = VA. | last6 = Nieh | first6 = PT. | last7 = Ogan | first7 = K. | last8 = Osunkoya | first8 = AO. | title = Sarcomatoid urothelial carcinoma of the bladder: a contemporary clinicopathologic analysis of 37 cases. | journal = Can J Urol | volume = 22 | issue = 3 | pages = 7783-7 | month = Jun | year = 2015 | doi =  | PMID = 26068625 }}</ref>
'''Sarcomatoid urothelial carcinoma''' (abbreviated '''sarcomatoid UC'''), also '''sarcomatoid urothelial cell carcinoma''' (abbreviated '''sarcomatoid UCC'''), is a rare variant of [[urothelial carcinoma]].<ref name=pmid26068625>{{Cite journal  | last1 = Fatima | first1 = N. | last2 = Canter | first2 = DJ. | last3 = Carthon | first3 = BC. | last4 = Kucuk | first4 = O. | last5 = Master | first5 = VA. | last6 = Nieh | first6 = PT. | last7 = Ogan | first7 = K. | last8 = Osunkoya | first8 = AO. | title = Sarcomatoid urothelial carcinoma of the bladder: a contemporary clinicopathologic analysis of 37 cases. | journal = Can J Urol | volume = 22 | issue = 3 | pages = 7783-7 | month = Jun | year = 2015 | doi =  | PMID = 26068625 }}</ref>



Revision as of 06:22, 19 June 2015

Sarcomatoid urothelial carcinoma
Diagnosis in short

Sarcomatoid urothelial carcinoma. H&E stain.
Subtypes (subtype of urothelial carcinoma)
LM DDx sarcoma, carcinosarcoma - esp. in women, other sarcomatoid carcinomas
Site urothelium - urinary bladder, ureter, renal pelvis

Prevalence very rare
Prognosis poor
Treatment resection if feasible

Sarcomatoid urothelial carcinoma (abbreviated sarcomatoid UC), also sarcomatoid urothelial cell carcinoma (abbreviated sarcomatoid UCC), is a rare variant of urothelial carcinoma.[1]

General

  • Rare.[1]
  • Aggressive >55% dead within one year of presentation.[1]

Gross

Microscopic

Features:

  1. Urothelial carcinoma (classic or recognizable variant).
  2. Sarcomatoid differentiation - typically (undifferentiated) spindle cells.

DDx:

  • Sarcoma - esp. those arising from the retroperitoneum.

Images

See also

References

  1. 1.0 1.1 1.2 1.3 Fatima, N.; Canter, DJ.; Carthon, BC.; Kucuk, O.; Master, VA.; Nieh, PT.; Ogan, K.; Osunkoya, AO. (Jun 2015). "Sarcomatoid urothelial carcinoma of the bladder: a contemporary clinicopathologic analysis of 37 cases.". Can J Urol 22 (3): 7783-7. PMID 26068625.
  2. Nicolas, MM.; Nazarullah, A.; Guo, CC. (Apr 2014). "Sarcomatoid urothelial carcinoma with chondrosarcomatous differentiation of the ureter: a case report.". Anal Quant Cytopathol Histpathol 36 (2): 111-6. PMID 24902363.
  3. Tian, X.; Zhao, J.; Wang, Y.; Xing, N. (Sep 2014). "Sarcomatoid carcinoma of the renal pelvis: A case report.". Oncol Lett 8 (3): 1208-1210. doi:10.3892/ol.2014.2240. PMID 25120689.