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RESIDENT’S CORNER

Urethral carcinosarcoma from bladder carcinosarcomatous lesions: analysis of clinicopathological features

Trinity J. Bivalacqua¹, Herman S. Bagga¹, Kaustubha Patil¹, Ahmed Magheli¹, Janis M. Taube², Thomas J. Guzzo¹, Mark L. Gonzalgo¹

1 The James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
2 Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
Address correspondence to Dr. Trinity J. Bivalacqua,The James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, 600 N. Wolfe Avenue, Marburg 143, Baltimore, MD 21287 USA

Canadian Journal of Urology 2009, 16(1), 4512-4515.

Abstract

Carcinosarcoma (CS) of the bladder is a rare malignancy of the genitourinary tract that is highly aggressive with unfavorable prognoses. Data regarding the epidemiological and clinicopathological characteristics of CS of the urinary bladder have been limited due to the low reported incidence of the tumor. In particular, there is little evidence on recurrence patterns and surveillance after definitive surgical therapy. In this case report, we describe a urethral recurrence of CS after radical cystoprostatectomy for CS of the bladder. The goal of this case report is to review our current understanding of the pathological and recurrence patterns of patients with CS of the urinary bladder in order to better define postoperative care for patients with CS of the bladder.

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Keywords

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