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Published in: European Journal of Medical Research 1/2016

Open Access 01-12-2016 | Case report

Long term disease free survival with multimodal therapy in small cell bladder cancer

Authors: Isabel Heidegger, Gennadi Tulchiner, Georg Schäfer, Wolfgang Horninger, Renate Pichler

Published in: European Journal of Medical Research | Issue 1/2016

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Abstract

Background

Small cell bladder cancer (SCBC) is an aggressive subtype accounting for less than 1 % of all bladder malignancies associated with rapid progression, early metastases formation and high mortality rates.

Case presentation

We present an unusual long term disease free survival of a 60 year-old man who was diagnosed with SCBC two and a half years ago. He underwent four cycles of cisplatin/etoposide chemotherapy as well as a prophylactic whole-brain radiotherapy followed by a radical cystoprostatectomy and ileal neobladder with extended pelvic lymphadenectomy. Since 33 months the patient is now recurrence-free.

Conclusion

In this case report, we were able to show that early multimodal therapy results in long term disease free survival, thus we highly recommend neoadjuvant chemotherapy as a part of multimodal management of a primary metastases-free, localized and surgically resectable SCBC.
Literature
1.
go back to reference Blomjous CE, Vos W, De Voogt HJ, et al. Small cell carcinoma of the urinary bladder. A clinicopathologic, morphometric, immunohistochemical, and ultrastructural study of 18 cases. Cancer. 1989;64:1347–57.CrossRefPubMed Blomjous CE, Vos W, De Voogt HJ, et al. Small cell carcinoma of the urinary bladder. A clinicopathologic, morphometric, immunohistochemical, and ultrastructural study of 18 cases. Cancer. 1989;64:1347–57.CrossRefPubMed
2.
go back to reference Lopez JI, Angulo JC, Flores N, Toledo JD. Small cell carcinoma of the urinary bladder. A clinicopathological study of six cases. Br J Urol. 1994;73:43–9.CrossRefPubMed Lopez JI, Angulo JC, Flores N, Toledo JD. Small cell carcinoma of the urinary bladder. A clinicopathological study of six cases. Br J Urol. 1994;73:43–9.CrossRefPubMed
3.
go back to reference Mazzucchelli R, Scarpelli M, Galosi AB, Lopez-Beltran A, Cheng L, Montironi R. “Pathology of the Bladder” (Capitolo di Libro Internazionale), p. 26–39, October 2015, in Advances in Bladder Cancer Management, Copyright © 2015 Future Medicine Ltd, doi: 10.2217/9781780844237, eISBN (PDF): 978-1-78084-423. Mazzucchelli R, Scarpelli M, Galosi AB, Lopez-Beltran A, Cheng L, Montironi R. “Pathology of the Bladder” (Capitolo di Libro Internazionale), p. 26–39, October 2015, in Advances in Bladder Cancer Management, Copyright © 2015 Future Medicine Ltd, doi: 10.​2217/​9781780844237, eISBN (PDF): 978-1-78084-423.
4.
go back to reference Williamson SR, Zhang S, Yao JL, et al. ERG-TMPRSS2 rearrangement is shared by concurrent prostatic adenocarcinoma and prostatic small cell carcinoma and absent in small cell carcinoma of the urinary bladder: evidence supporting monoclonal origin. Mod Pathol. 2011;24(8):1120–7.CrossRefPubMedPubMedCentral Williamson SR, Zhang S, Yao JL, et al. ERG-TMPRSS2 rearrangement is shared by concurrent prostatic adenocarcinoma and prostatic small cell carcinoma and absent in small cell carcinoma of the urinary bladder: evidence supporting monoclonal origin. Mod Pathol. 2011;24(8):1120–7.CrossRefPubMedPubMedCentral
5.
go back to reference Wang X, Zhang S, MacLennan GT, et al. Epidermal growth factor receptor protein expression and gene amplification in small cell carcinoma of the urinary bladder. Clin Cancer Res. 2007;13(3):953–7.CrossRefPubMed Wang X, Zhang S, MacLennan GT, et al. Epidermal growth factor receptor protein expression and gene amplification in small cell carcinoma of the urinary bladder. Clin Cancer Res. 2007;13(3):953–7.CrossRefPubMed
6.
go back to reference Geynisman DM, Handorf E, Wong YN, et al. Advanced small cell carcinoma of the bladder: clinical characteristics, treatment patterns and outcomes in 960 patients and comparison with urothelial carcinoma. Cancer Med. 2016;5(2):192–9. doi:10.1002/cam4.577 Epub 2015 Dec 18.CrossRefPubMed Geynisman DM, Handorf E, Wong YN, et al. Advanced small cell carcinoma of the bladder: clinical characteristics, treatment patterns and outcomes in 960 patients and comparison with urothelial carcinoma. Cancer Med. 2016;5(2):192–9. doi:10.​1002/​cam4.​577 Epub 2015 Dec 18.CrossRefPubMed
7.
go back to reference Moretto P, Wood L, Emmenegger U, et al. Management of small cell carcinoma of the bladder: consensus guidelines from the Canadian Association of Genitourinary Medical Oncologists (CAGMO). Can Urol Assoc J. 2013;7:E44–56.CrossRefPubMedPubMedCentral Moretto P, Wood L, Emmenegger U, et al. Management of small cell carcinoma of the bladder: consensus guidelines from the Canadian Association of Genitourinary Medical Oncologists (CAGMO). Can Urol Assoc J. 2013;7:E44–56.CrossRefPubMedPubMedCentral
8.
go back to reference Celik O, Ekin G, Ipekci T, et al. Diagnosis and treatment in primary bladder small cell carcinoma: literature review. Arch Ital Urol Androl. 2016;88(1):52–5.CrossRefPubMed Celik O, Ekin G, Ipekci T, et al. Diagnosis and treatment in primary bladder small cell carcinoma: literature review. Arch Ital Urol Androl. 2016;88(1):52–5.CrossRefPubMed
9.
go back to reference Mak RH, Hunt D, Shipley WU, et al. Long-term outcomes in patients with muscle-invasive bladder cancer after selective bladder-preserving combined-modality therapy: a pooled analysis of Radiation Therapy Oncology Group protocols 8802, 8903, 9506, 9706, 9906, and 0233. J Clin Oncol. 2014;32:3801–9.CrossRefPubMedPubMedCentral Mak RH, Hunt D, Shipley WU, et al. Long-term outcomes in patients with muscle-invasive bladder cancer after selective bladder-preserving combined-modality therapy: a pooled analysis of Radiation Therapy Oncology Group protocols 8802, 8903, 9506, 9706, 9906, and 0233. J Clin Oncol. 2014;32:3801–9.CrossRefPubMedPubMedCentral
10.
go back to reference Siefker-Radtke AO, Dinney CP, Abrahams NA, et al. Evidence supporting preoperative chemotherapy for small cell carcinoma of the bladder: a retrospective review of the MD Anderson cancer experience. J Urol. 2004;172(2):481–4.CrossRefPubMed Siefker-Radtke AO, Dinney CP, Abrahams NA, et al. Evidence supporting preoperative chemotherapy for small cell carcinoma of the bladder: a retrospective review of the MD Anderson cancer experience. J Urol. 2004;172(2):481–4.CrossRefPubMed
11.
go back to reference Siefker-Radtke AO, Kamat AM, Grossman HB, et al. Phase II clinical trial of neoadjuvant alternating doublet chemotherapy with ifosfamide/doxorubicin and etoposide/cisplatin in small-cell urothelial cancer. J Clin Oncol. 2009;27(16):2592–7.CrossRefPubMedPubMedCentral Siefker-Radtke AO, Kamat AM, Grossman HB, et al. Phase II clinical trial of neoadjuvant alternating doublet chemotherapy with ifosfamide/doxorubicin and etoposide/cisplatin in small-cell urothelial cancer. J Clin Oncol. 2009;27(16):2592–7.CrossRefPubMedPubMedCentral
12.
go back to reference Lynch SP, Shen Y, Kamat A, et al. Neoadjuvant chemotherapy in small cell urothelial cancer improves pathologic downstaging and long-term outcomes: results from a retrospective study at the MD Anderson Cancer Center. Eur Urol. 2013;64(2):307–13.CrossRefPubMed Lynch SP, Shen Y, Kamat A, et al. Neoadjuvant chemotherapy in small cell urothelial cancer improves pathologic downstaging and long-term outcomes: results from a retrospective study at the MD Anderson Cancer Center. Eur Urol. 2013;64(2):307–13.CrossRefPubMed
13.
go back to reference Thota S, Kistangari G, Daw H, et al. A clinical review of small-cell carcinoma of the urinary bladder. Clin Genitourin Cancer. 2013;11(2):73–7.CrossRefPubMed Thota S, Kistangari G, Daw H, et al. A clinical review of small-cell carcinoma of the urinary bladder. Clin Genitourin Cancer. 2013;11(2):73–7.CrossRefPubMed
14.
go back to reference Choong NW, Quevedo JF, Kaur JS. Small cell carcinoma of the urinary bladder. The Mayo clinic experience. Cancer. 2005;103(6):1172–8.CrossRefPubMed Choong NW, Quevedo JF, Kaur JS. Small cell carcinoma of the urinary bladder. The Mayo clinic experience. Cancer. 2005;103(6):1172–8.CrossRefPubMed
Metadata
Title
Long term disease free survival with multimodal therapy in small cell bladder cancer
Authors
Isabel Heidegger
Gennadi Tulchiner
Georg Schäfer
Wolfgang Horninger
Renate Pichler
Publication date
01-12-2016
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2016
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-016-0234-9

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