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Urinary Tract Large Cell Neuroendocrine Carcinoma

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Encyclopedia of Pathology

Synonyms

Large cell type; Undifferentiated neuroendocrine carcinoma

Definition

Urinary tract large cell neuroendocrine carcinoma (LCNEC) is a high-grade carcinoma with large cells showing neuroendocrine differentiation.

Clinical Features

  • Incidence

    LCNEC is a rare tumor. To date, approximately 20 cases of bladder LCNEC of pure and mixed histology have been reported in the literature (Oshiro et al. 2013; Radović et al. 2015), even with small cell neuroendocrine carcinoma.

  • Age

    The tumor occurs mostly in men.

  • Sex

    The age of diagnosis ranges from 61 to 87 years (mean 74 years) (Moch et al. 2016).

  • Site

    LCNEC is mainly reported in the bladder, and single cases have been described in upper urinary tract (Oshiro et al. 2013).

  • Treatment

    Treatment strategies for LCNEC are represented by cystectomy and chemotherapy.

  • Outcome

    Most patients with LCNEC present with high-stage disease and have a poor prognosis. To date, the only reported series of LCNEC of the bladder compared to small cell...

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References and Further Reading

  • Evans, A. E., Al-Maghrabi, J., Tsihlias, J., et al. (2002). Primary large cell neuroendocrine carcinoma of the urinary bladder. Archives of Pathology & Laboratory Medicine, 126, 1229–1232.

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  • Hailemariam, S., Gaspert, A., Komminoth, P., et al. (1998). Primary, pure, largecell neuroendocrine carcinoma of the urinary bladder. Modern Pathology, 11, 1016–11020.

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  • Moch, H., Humphrey, P. A., Ulbright, T. M., & Reuter, V. (2016). Who classification of Tumours of the urinary system and male genital organs. Lyon: IARC Press.

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  • Oshiro, H., Odagaki, Y., Iobe, H., et al. (2013). Primary large cell neuroendocrine carcinoma of the ureter. International Journal of Clinical and Experimental Pathology, 6, 729–736.

    PubMed  PubMed Central  Google Scholar 

  • Radović, N., Turner, R., & Baralja, F. (2015). Primary “pure” large cell neuroendocrine carcinoma of the urinary bladder: A case report and review of the literature. Clinical Genitourinary Cancer, 13, e375–e377.

    Article  Google Scholar 

  • Vollbrecht, C., Werner, R., Walter, R. F., et al. (2015). Mutational analysis of pulmonary tumours with neuroendocrine features using targeted massive parallel sequencing: A comparison of a neglected tumour group. British Journal of Cancer, 113, 1704–1711.

    Article  CAS  Google Scholar 

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Correspondence to Maria Rosaria Raspollini .

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Raspollini, M.R., Cimadamore, A., Montironi, R., Lopez-Beltran, A. (2020). Urinary Tract Large Cell Neuroendocrine Carcinoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4972-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4972-1

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