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Published on: October 30, 2013
Small cell carcinoma of the urinary bladder
Mukta Pant-Purohit1, Antonio Lopez-Beltran, Rodolfo Montironi
1Department of Hematology and Oncology and Pathology, Indiana University School of Medicine, 350 West 11th Street, Indianapolis, IN 46202, USA.
Small cell carcinoma of the urinary bladder (SCCUB) is a rare, aggressive cancer. This review covers SCCUB epidemiology, pathogenesis, and management, including new targeted therapies for neuroendocrine tumors.
Area of Science:
- Urology
- Oncology
- Genetics
Background:
- Small cell carcinoma of the urinary bladder (SCCUB) is a rare and aggressive neuroendocrine tumor.
- It predominantly affects males and is associated with risk factors like smoking and chronic bladder inflammation.
- SCCUB has a poor prognosis due to high metastatic potential and often asymptomatic early stages.
Purpose of the Study:
- To provide a comprehensive overview of SCCUB.
- To discuss the epidemiology, molecular pathogenesis, and histochemistry of SCCUB.
- To review current management strategies and advancements in targeted molecular therapy.
Main Methods:
- Literature review of epidemiology, molecular pathogenesis, histochemistry, and treatment of SCCUB.
- Analysis of recent studies on targeted molecular therapies for neuroendocrine tumors.
- Synthesis of current management options, including surgery, chemotherapy, and radiation therapy.
Main Results:
- SCCUB pathogenesis involves genetic material loss, tumor suppressor hypermethylation, and oncogene amplification.
- Standard treatment includes local resection with platinum-based chemotherapy, with radiation as an alternative or palliative measure.
- Recent advancements focus on targeted molecular therapies for neuroendocrine tumors.
Conclusions:
- SCCUB remains a challenging diagnosis with a poor prognosis.
- Multidisciplinary management is crucial for optimal patient outcomes.
- Emerging targeted therapies offer potential for improved treatment efficacy in neuroendocrine tumors.
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