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Scholars Journal of Medical Case Reports | Volume-4 | Issue-11
Primary Small Cell Carcinoma of the Urinary Bladder Coexists High Grade Urothelial Carcinoma: A Rare Malignant Tumor
Mazaher Ramezani, Rezvan Mansouri, Masoud Sadeghi
Published: Nov. 30, 2016 |
143
156
DOI: 10.36347/sjmcr.2016.v04i11.008
Pages: 830-833
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Abstract
Primary small cell carcinoma of the bladder (SCCB) is a type of rare malignant tumor of the urinary tract, accounting for around 0.5–1% of all primary bladder caners. We reported a 79-year-old jobless man that referred to the Urologist with gross hematuria, retention and dysuria. He had a history of dyspnea infrequently and diabetes. Sonography was done which showed 54x30 mm mass in right lateral urinary bladder wall with extension to the right ureterovesical junction. There was a large papillary and infiltrative mass in the right lateral wall of the urinary bladder with right Ureterovesical junction (UVJ) involvement. The pathology report showed "High grade papillary urothelial carcinoma (WHO/ISUP), grade IV/IV associated with small cell carcinoma. SCC was present in 20% of surface area. In summary, SCCB is a type of aggressive rare malignant tumor that occurs more in elderly men and hematuria is the common complaint in these patients at the first visit.