DOI: 10.36347/sjmcr.2015.v03i07.007

Pages: 580-582

Primary bladder sarcomas of unknown histogenesis are very rare tumours which are known to be aggressive in their behaviour and as such have a very poor prognosis. We report the case of a middle-aged woman who presented as an outpatient following months of lower urinary tract symptoms. Although initial ultrasound was normal, the presence of a tumour was confirmed using flexible cystoscopy. Histology of specimens collected during Transurethral Resection of Bladder Tumour (TURBT) allowed firm diagnosis of primary bladder sarcoma of unknown histogenesis. Despite multiple TURBT procedures and the use of bilateral nephrostomies the patient was eventually treated with radical cystectomy, however, rapid recurrence meant that she sadly passed away before adjuvant chemotherapy could be initiated.