Engin KÖLÜKÇÜ, Şahin KILIÇ, Nihat ULUOCAK, Doğan ATILGAN, Faik Alev DERESOY

Mesanenin sarkomatoid karsinomu: Olgu sunumu ve literatürün kısa gözden geçirilmesi

Mesanede en sık izlenen malign oluşumlar ürotelyal karsinomlar olmakla birlikte sarkomatoid karsinom gibi farklı diferansiyasyon gösteren tümörler de bulunmaktadır. Bu nadir izlenen tümoral yapılar malign epitelyal ve sarkomatöz komponentler içeren oldukça agresif davranışlı oluşumlardır. Bu konu ile ilgili literatür bilgileri son derece sınırlı olup tedavi protokolleri hakkında fikir birliğine varılan bir rejim mevcut değildir. Bu olgu sunumunda makroskopik hematüri ile başvuran ve mesanenin sarkomatoid karsinomu tanısı alan 71 yaşındaki erkek hastanın literatür bilgileri eşliğinde tartışılması amaçlanmıştır.

Anahtar Kelimeler:

Sarkomatoid, Karsinom, Mesane

Sarcomatoid carcinoma of the urinary bladder: A case report and short review of the literature

Although the most common malignant formations in the bladder are urothelial carcinomas, there are also tumors with different differentiation degrees like sarcomatoid carcinoma of the urinary bladder. It is a rare and highly aggressive type of tumor and consists of malignant epithelial and sarcomatous components. The literature about the subject is extremely limited, and there is no consensus on treatment protocols. This case report aims to present a case of 71-year-old man who presented with macroscopic hematuria and diagnosed with sarcomatoid carcinoma of the urinary bladder.

Keywords:

Sarcomatoid, Carcinoma, Bladder,

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1. Antoni S, Ferlay J, Soerjomataram I, Znaor A, Jemal A, Bray F. Bladder Cancer Incidence and Mortality: A Global Overview and Recent Trends. Eur Urol. 2017;71(1):96-108. doi: 10.1016/j.eururo.2016.06.010.
2. Çakan M, Özer U, Aldemir M, Yalçınkaya F, Altuğ U. Treatment Results of Radical Cystectomy+Chemotherapy and Transurethral Resection+Chemotherapy in Patients with Invasive Bladder Carcinomas. Turk J Urol. 2006;32(4):453-7.
3. Yücel C, Keskin MZ. Rare Malign Tumors of Bladder: Review of the Literature. J Reconstr Urol. 2017;7(1):19-24. doi: 10.5336/urology.2016-52091.
4. Erdemir F, Uluocak N, Tunç M, Özcan F, Gökçe Ö, Kılıçaslan I. Sarcomatoid Carsinoma of the Urinary Bladder. Turk J Urol. 2006;32(4):462-6.
5. Wick MR, Swanson PE. Carcinosarcomas: current perspectives and an historical review of nosological concepts. Semin Diagn Pathol. 1993;10(2):118-27.
6. Wright JL, Black PC, Brown GA, Porter MP, Kamat AM, Dinney CP et al. Differences in survival among patients with sarcomatoid carcinoma, carcinosarcoma and urothelial carcinoma of the bladder. J Urol. 2007;178(6):2302-6. doi: 10.1016/j.juro.2007.08.038.
7. Tan A, Ünal E, Özdemir NÖ, Çelen İ. Sarcomatoid Carcinoma of the Urinary Bladder: Case Report. Clin Anal Med. 2015;6(Suppl 2):188-90. doi:10.4328/JCAM.1401.
8. Okatan KB, Mollamehmetoğlu B, Okatan AE. Bladders osteosarcoma component dominant sarcomatoid carcinoma. Pam Med J. 2015;8(3):247-50. doi: 10.5505/ptd.2015.65902.
9. Yıkılmaz TN, Baş O, Arık Aİ, Hızlı F, Başar H. Rare malignancies of the bladder: Case series and review of the liiterature. Dicle Medical Journal. 2014;41(4):767-72. doi:10.5798/diclemedj.0921.2014.04.0518
10. Lopez-Beltran A, Pacelli A, Rothenberg HJ, Wollan PC, Zincke H, Blute ML, et al. Carcinosarcoma and sarcomatoid carcinoma of the bladder: Clinicopathological study of 41 cases. J Urol. 1998;159(5):1497-503. doi:10.1097/0000539219980500000023
11. Jones EC, Young RH. Myxoid and sclerosing sarcomatoid transitional cell carcinoma of the urinary bladder: a clinicopathologic and immunohistochemical study of 25 cases. Mod Pathol. 1997;10(9):908-16.
12. Ikegami H, Iwasaki H, Ohjimi Y, Takeuchi T, Ariyoshi A, Kikuchi M. Sarcomatoid carcinoma of the urinary bladder: a clinicopathologic and immunohistochemical analysis of 14 patients. Hum Pathol. 2000;31(3):332-40.
13. Perret L, Chaubert P, Hessler D, Guillou L. Primary heterologous carcinosarcoma (metaplastic carcinoma) of the urinary bladder: a clinicopathologic, immunohistochemical, and ultrastructural analysis of eight cases and a review of the literature. Cancer. 1998;15;82(8):1535-49.
14. Özkan A, Can Balcı MB, Hazar Aİ, Gezmiş CT, Kurtuluş FO, Nuhoğlu B. Sarcomatoid and Lymphoepithelioma Like Differentiated Carcinoma of the Urinary Bladder: Partial Cystectomy a Case Report. JAREM. 2014;1:35-7. doi: 10.5152/jarem.2014.511.
15. Wang J, Wang FW, Lagrange CA, Hemstreet GP, III, Kessinger A. Clinical features of sarcomatoid carcinoma (carcinosarcoma) of the urinary bladder: analysis of 221 cases. Sarcoma. 2010;2010:7:454792. doi: 10.1155/2010/454792