Mixed Neuroendocrine Neoplasm of the Urinary Bladder

Mixed Neuroendocrine Neoplasm of the Urinary Bladder

Article
Kidney & Bladder Health
Men's Health
+4
Contributed byKrish Tangella MD, MBAJul 07, 2022

What are the other Names for this Condition? (Also known as/Synonyms)

  • Mixed Neuroendocrine Neoplasm of the Bladder

What is Mixed Neuroendocrine Neoplasm of the Urinary Bladder? (Definition/Background Information)

  • Mixed Neuroendocrine Neoplasm of the Urinary Bladder is a rare high-grade neuroendocrine tumor that is seen in the urinary tract
  • These tumors are uncommon and histologically consists of neuroendocrine features and non-neuroendocrine component such as squamous cell carcinoma, adenocarcinoma, or urothelial carcinoma
  • Neuroendocrine tumors in bladder locations is known to be mixed with non-neuroendocrine components in over 50% of cases

Incidence:

  • It is estimated that 1 in 10 mixed neuroendocrine neoplasms may be present in the urinary bladder 
  • A vast majority of cases are noted in adults
  • Both males and females are affected
  • All races and ethnic groups are at risk

Risk factors: The risk factors are presently unknown.

Cause: The cause of tumor formation is presently unknown.

Signs and symptoms:

  • The signs and symptoms may vary from one individual to another
  • Tumors involving the bladder may present blood in urine, urination difficulties, and abdominal pain

Diagnosis:

  • Blood and urine tests
  • Radiological studies
    • Ultrasound of abdomen
    • CT and MRI scan of abdomen
  • Tissue biopsy of the tumor is important to arrive at a definitive diagnosis: A careful examination of the biopsy, and often, multiple special studies may be necessary to arrive at the diagnosis

Complications:

  • Emotional stress
  • Tumor metastasis to different organs and regions
  • Incomplete removal resulting in tumor recurrence

Treatment:

  • The staging is based on American Joint Committee on Cancer (AJCC) classification
  • Treatment depends on cancer stage and health of the individual
  • It may require a combination of surgery, chemotherapy, and radiation therapy

Prevention: Presently, it is not possible to prevent the formation of Mixed Neuroendocrine Neoplasm of the Genitourinary System.

Prognosis:

  • The prognosis depends on the stage of the tumor
  • Nevertheless, the prognosis of Mixed Neuroendocrine Neoplasm of the Bladder is generally poor
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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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