[Uncommon bladder tumours].

Abstract:

:Bladder tumours are frequent with around 10,000 new cases each year in France. Less than 500 of these cases are not transitional cell carcinoma, the most frequent pathological aspect. The identification of these pathological patterns requires an initial biopsy through transurethral resection. Sarcomatoid, squamous and some adenocarcinomatous types are often pathological variants of the transitional pattern. These tumours are possibly secondary to alkylating drug metabolites or pelvic radiotherapy and they have often a poor prognostic outcome. This is also the case of spindle cell carcinoma, an endocrine variant of rare bladder cancers. The treatment is generally based on an aggressive approach combining chemotherapy and a radical cystectomy. Other tumours have a more locally invasive pattern, as have urachal adenocarcinomas, sarcomas. The treatment is based on aggressive surgical exeresis of the tumour and surrounding structures. The outcome may be more favourable. Primary non Hodgkin lymphomas are rare, secondary involvement more frequent. All histological subtypes could be encountered. The treatment is the same as this of lymphomas of other location and of the same histology. Attention must be drawn on a precise evaluation of the pathological pattern and of the disease extension.

journal_name

Bull Cancer

journal_title

Bulletin du cancer

authors

Boyle H,Fléchon A,Droz JP

doi

10.1684/bdc.2010.1097

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

51-7

eissn

0007-4551

issn

1769-6917

pii

bdc.2010.1097

journal_volume

97 Suppl Cancer de la vessie

pub_type

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