Urology Annals
About UA | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionLogin 
Urology Annals
  Editorial Board | Subscribe | Advertise | Contact
Users Online: 253   Home Print this page  Email this page Small font size Default font size Increase font size
Year : 2016  |  Volume : 8  |  Issue : 3  |  Page : 372-376

High-grade undifferentiated pleomorphic sarcoma of the pelvis: A case report and review of literature

1 West Virginia School of Osteopathic Medicine, West Virginia, USA
2 Vaidya Urology Clinic, West Virginia, USA
3 Bellefonte Urological Service, Kentucky, USA

Correspondence Address:
Slava Agafonoff
7278 Hollywood Blvd #5, Los Angeles, CA 90046
Login to access the Email id

DOI: 10.4103/0974-7796.184907

PMID: 27453666

Rights and Permissions

High-grade spindle cell sarcomas are rare undifferentiated pleomorphic cancers that present a treatment challenge to urological practices, especially when they present in the pelvis. We report a 46-year-old male patient who presented to our urology clinic with urinary retention after having a Foley catheter placed at an outlying facility. A voiding trial was attempted, but the patient failed this trial. This failure resulted in cystoscopy with bilateral retrograde pyelograms, which revealed a compressed bladder due to extrinsic compression. This finding had been evaluated with a computed tomography (CT) scan with and without intravenous contrast that showed a 14 cm pelvic mass with bladder displacement and compression. A fine needle aspiration was done at this outlying facility, prior to referral to our office, and it confirmed spindle cell pathology. The mass was surgically excised with the histology revealing a pelvic spindle cell sarcoma with positive surgical margins. Further, metastatic work-up with CT/positron emission tomography revealed bone and lung metastasis. The patient is currently undergoing chemotherapy and radiation. In this case study, we will review staging, management, differential diagnosis, chemotherapy, and radiation.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded331    
    Comments [Add]    

Recommend this journal