Bladder Sarcomatoid Carcinoma in an Adolescent: 10-Year Survival After Aggressive Surgical Management

Abstract

Bladder cancer is a rare entity in the pediatric population. Sarcomatoid carcinoma is considered a variant histology of bladder urothelial carcinoma and is exceedingly unusual in children. We present a case of a 14-year-old black female who presented to the pediatric urology clinic with hematuria. Her history was notable for acute lymphocytic leukemia treated with cyclophosphamide, which had been in remission for four years. Subsequent workup demonstrated a large, complex bladder mass, consistent with sarcomatoid carcinoma following transurethral resection. She underwent a radical cystectomy with bilateral pelvic lymphadenectomy and ileal conduit and remains disease free 10 years after diagnosis.

Keywords

• Bladder cancer
• Adolescent
• Radical cystectomy
• Sarcomatoid