A large urinary bladder sarcoma treated with transurethral resection: a case report

Abstract

The objective of this study is to report a case of a large urinary bladder sarcoma treated with transurethral resection and to evaluate the feasibility and efficacy of endoscopic surgery for urinary bladder sarcoma. We present a case report of a 64-year-old woman who underwent transurethral resection of a large urinary bladder sarcoma. Pathologic findings and immunohistochemistry were used to confirm the diagnosis of undifferentiated sarcoma. The patient was followed up for 48 months for local recurrence and distant metastasis. Nearly complete transurethral resection was performed, yielding 500 g of tissue. The patient underwent repeated transurethral resection because she declined radical surgery. The patient has survived for 48 months without local recurrence or metastasis. Transurethral resection could be an alternative option for urinary bladder sarcoma, particularly in cases where radical resection may not be feasible or desired by the patient. Careful selection of appropriate patients and long-term follow-up are crucial. Further studies are needed to evaluate the efficacy and safety of endoscopic surgery for urinary bladder sarcoma.