Abstract
Micropapillary, sarcomatoid, and small cell carcinomas are uncommon, aggressive variants usually encountered in the evolution of high-grade nonpapillary transitional cell carcinoma (TCC). Of these, only small cell carcinoma is effectively treated with currently available systemic therapy. Adenocarcinoma and squamous cancers can also arise from the urothelium. Neither is as sensitive to chemotherapy as conventional TCC, but a subset (currently indefinable save in retrospect) does well. Dominant lymphoepithelioma has a favorable prognosis. Urachal cancers require preoperative recognition for optimal surgical management, and are being shown to be somewhat responsive to regimens useful in colon cancer. Mesenchymal tumors are exceedingly rare and are treated like other pelvic sarcomas.
Original language | English (US) |
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Title of host publication | Textbook of Uncommon Cancer, Third Edition |
Publisher | John Wiley & Sons, Ltd |
Pages | 18-26 |
Number of pages | 9 |
ISBN (Print) | 0470012021, 9780470012024 |
DOIs | |
State | Published - Jul 11 2006 |
Keywords
- Lymphoepithelioma
- Micropapillary
- Sarcomatoid
- Small cell
- Urachal
- Urothelium
ASJC Scopus subject areas
- General Medicine