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Frond-like mass with hemorrhage is detected in bladder.
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Figure 1: Frond-like mass with hemorrhage is detected in bladder.

Mentions: At the time when the patient was admitted to this hospital, numerous RBC were observed on urinalysis. There were no notable findings on blood test and chest radiography. On cystoscopy, a frond-like mass was observed at the bladder trigone, which measured about 1 cm (Fig. 1). Since hematuria continued, Foley catheterization was performed.

Lymphoepithelioma-like Carcinoma of the Urinary Bladder

Yun HK, Yun SI, Lee YH, Kang KM, Kwak EK, Kim JS, Cho SR, Kwon JB - J. Korean Med. Sci. (2010)

Bottom Line: On microscopy, syncytial growth pattern and indistinct cytoplasmic borders were observed with the severe infiltration of lymphoid cells.The case was followed-up for 8 months without recurrence.This is the first report of a LELCA case in Korea.

Affiliation: Department of Urology, Daegu Fatima Hospital, Daegu, Korea.

ABSTRACT
A 78-yr-old woman presented with gross hematuria for 2 weeks. On cystoscopy, a frond-like mass was observed at the bladder trigone. Transurethral resection of bladder tumor was performed for the mass. Histopathological findings showed that 90% of lesions were lymphoepithelioma-like carcinoma (LELCA) and a few lesions were non-invasive transitional cell carcinoma. On microscopy, syncytial growth pattern and indistinct cytoplasmic borders were observed with the severe infiltration of lymphoid cells. The case was followed-up for 8 months without recurrence. This is the first report of a LELCA case in Korea.

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