Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case
The case we report shows rapid progression and a very poor prognosis only for a month that differs from the clinical course reported in the literature. An 83-year-old man was referred to our hospital for macroscopic hematuria. Computed tomography (CT) revealed a large bladder tumor measuring 4 cm × ...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/532081 |
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| author | Toru Yamada Shingo Nagai Yusuke Kanimoto |
| author_facet | Toru Yamada Shingo Nagai Yusuke Kanimoto |
| author_sort | Toru Yamada |
| collection | DOAJ |
| description | The case we report shows rapid progression and a very poor prognosis only for a month that differs from the clinical course reported in the literature. An 83-year-old man was referred to our hospital for macroscopic hematuria. Computed tomography (CT) revealed a large bladder tumor measuring 4 cm × 3 cm and magnetic resonance imaging revealed extravesical invasion and pelvic wall invasion of the tumors. Chest CT and bone scintigraphy revealed no evidence of distant visceral metastases, and a clinical diagnosis of T4N0M0 was made. Transurethral resection of the bladder tumor (TUR-BT) was performed for histopathological diagnosis 18 days after admission, and no further adjuvant treatment was given. At 15 days after TUR-BT, the patient's clinical status worsened with symptoms of exertional dyspnea. CT showed multiple metastatic lesions in the lung, liver, and retroperitoneal lymphadenopathy. The patient died 2 days later and underwent autopsy. A final histopathological diagnosis of leiomyosarcoma was made based on immunohistochemical staining. |
| format | Article |
| id | doaj-art-e20e1d6b56db42d5aa03c6b8fc6fc566 |
| institution | OA Journals |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-e20e1d6b56db42d5aa03c6b8fc6fc5662025-08-20T02:21:38ZengWileyCase Reports in Urology2090-696X2090-69782011-01-01201110.1155/2011/532081532081Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a CaseToru Yamada0Shingo Nagai1Yusuke Kanimoto2Department of Urology, Kakegawa Municipal General Hospital, Shizuoka-ken 436-8502, JapanDepartment of Urology, Kakegawa Municipal General Hospital, Shizuoka-ken 436-8502, JapanDepartment of Urology, Kakegawa Municipal General Hospital, Shizuoka-ken 436-8502, JapanThe case we report shows rapid progression and a very poor prognosis only for a month that differs from the clinical course reported in the literature. An 83-year-old man was referred to our hospital for macroscopic hematuria. Computed tomography (CT) revealed a large bladder tumor measuring 4 cm × 3 cm and magnetic resonance imaging revealed extravesical invasion and pelvic wall invasion of the tumors. Chest CT and bone scintigraphy revealed no evidence of distant visceral metastases, and a clinical diagnosis of T4N0M0 was made. Transurethral resection of the bladder tumor (TUR-BT) was performed for histopathological diagnosis 18 days after admission, and no further adjuvant treatment was given. At 15 days after TUR-BT, the patient's clinical status worsened with symptoms of exertional dyspnea. CT showed multiple metastatic lesions in the lung, liver, and retroperitoneal lymphadenopathy. The patient died 2 days later and underwent autopsy. A final histopathological diagnosis of leiomyosarcoma was made based on immunohistochemical staining.http://dx.doi.org/10.1155/2011/532081 |
| spellingShingle | Toru Yamada Shingo Nagai Yusuke Kanimoto Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case Case Reports in Urology |
| title | Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case |
| title_full | Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case |
| title_fullStr | Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case |
| title_full_unstemmed | Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case |
| title_short | Rapid Progression of a Urinary Bladder Leiomyosarcoma: Report of a Case |
| title_sort | rapid progression of a urinary bladder leiomyosarcoma report of a case |
| url | http://dx.doi.org/10.1155/2011/532081 |
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