Bladder Large Cell Neuroendocrine Carcinoma(LCNEC): A Case Report of Exfoliated Cytology and Pathological Characteristics.
Yu He, Huazhen Kong, Cui Zhang et al.
✦ AI-curated · Sources linked
Case in brief
A 77-year-old man presented with recurrent gross hematuria, urinary frequency, urgency, and lumbosacral pain. Imaging revealed a large soft-tissue mass on the bladder wall. Urine cytology showed atypical tumor cells, leading to a diagnosis of primary bladder large cell neuroendocrine carcinoma (LCNEC) after transurethral resection. The patient received adjuvant chemotherapy but experienced tumor recurrence at the 3-month follow-up.
Diagnostic / clinical pearl
Urine exfoliative cytology can effectively detect high-grade malignant cells in the urinary tract, particularly in cases lacking specific clinical and imaging features.
Why it matters
This case highlights the importance of integrating histopathology and immunohistochemistry for the definitive diagnosis of rare malignancies like bladder LCNEC.