DOI: 10.36347/sjmcr.2016.v04i08.020

Pages: 629-631

Sarcomatoid urothelial carcinoma is a biphasic malignant neoplasm exhibiting morphologic and or immunohistochemical evidences of both epithelial and mesenchymal differentiation. This uncommon vesical neoplasm is more frequently diagnosed in males with a peak frequency in sixth to eighth decades. Radiotherapy or Cyclophosphamide has been reported as specific risk factors. These tumors are associated with poor prognosis and multimodality therapy is recommended. After surgical resection of the tumor of the urinary bladder, chemotherapy and chemoradiotherapy is recommended. Here we report a case of sarcomatoid urothelial carcinoma with heterologous smooth muscle elements in a 70 year old male.