Abstract
IntroductionPrimary osteosarcoma is one of the rare tumors affecting the urinary bladder. The occurrence of osteosarcoma in a patient with a long history of transitional cell carcinoma of the bladder is even more uncommon.Case presentationWe present the case of a 74-year-old Greek man who was diagnosed with osteosarcoma 10 years after he had been diagnosed with transitional cell carcinoma of the bladder from which he had been free from recurrences for the past three years. Our patient was treated for the osteosarcoma with transurethral resection of bladder tumor and external beam radiation therapy. He died eight months after the diagnosis, suffering poor quality of life in the last months.ConclusionOsteosarcoma of the bladder has a dismal prognosis. External beam radiation therapy as an adjunct to transurethral resection of bladder tumor not only provides no benefit to patients with primary osteosarcoma of urinary bladder, but also may be associated with poor quality of life.
Highlights
Primary osteosarcoma is one of the rare tumors affecting the urinary bladder
External beam radiation therapy as an adjunct to transurethral resection of bladder tumor provides no benefit to patients with primary osteosarcoma of urinary bladder, and may be associated with poor quality of life
Only 32 cases have been reported using several treatment modalities [1,2,3]. We present another case of this neoplasm, which was managed with transurethral resection and external beam radiation therapy
Summary
External beam radiation therapy as adjunct to transurethral resection seems to provide no benefit for patients with primary osteosarcoma of urinary bladder. It may be associated with poor quality of life and should be better to be avoided. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Author details 1Department of Urology, General Hospital of Arta, Greece. Authors’ contributions CP was involved in patient care, review of literature and writing of the manuscript. GK was involved in radiological evaluation of our patient. HD was involved in patient care and writing supervision.
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