Micropapillary variant of transitional cell carcinoma in a young adult: a rare case report

Authors

  • Sasanka Kumar Barua Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Ashish Ghanghoria Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Saumar Jyoti Baruah Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Rajeev T. P. Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Puskal Kumar Bagchi Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Debanga Sarma Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India
  • Mandeep Phukan Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam, India

DOI:

https://doi.org/10.18203/2349-2902.isj20193367

Keywords:

Micropapillary carcinoma, Epidermal growth factor receptor, Non muscle invasive bladder cancer, Muscle invasive bladder cancer, Transitional cell carcinoma, Transurethral resection of bladder tumor

Abstract

Micropapillary carcinoma is an uncommon variant of urothelial carcinoma with high metastatic potential. Usually seen in elderly individual, we herein report a case of 42 years old man presented with macroscopic hematuria for 1 month. Evaluation with CECT whole abdomen revealed irregularly marginated hyperattenuated mildly enhancing intraluminal mass lesions in right lateral wall and in floor of urinary bladder. No perivesical infiltration and no regional lymphadenopathy were detected. TURBT done and subsequent histopathological examination showed a high-grade transitional cell carcinoma with micropapillary variant. He was subjected to radical cystoprostatectomy with pelvic lymph node dissection. The pathological examination revealed a high-grade transitional cell carcinoma with micropapillary variant invading the perivesical adipose tissue. No tumor recurrence or metastasis was reported at the 18-months follow-up.

References

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Published

2019-07-25

Issue

Section

Case Reports