Squamous cell carcinoma of bladder
Squamous cell carcinoma of bladder
Updated: 01/27/2021
© Jun Wang, MD, PhD
General features
- <5% of bladder tumors in US
- More common in Egypt/Sudan
- Diagnosed only if solely squamous cell component
- Commonly lateral walls and trigone
- Arises from squamous metaplasia
Risk factors
- Cigarette smoking
- Chronic
infection
- Bladder exstrophy, neurogenic bladder, chronic indwelling catheters
- Schistosoma haematobium infection in Egypt/Sudan
Clinical presentations
- Painless hematuria
- Irritative voiding syndrome
Key morphological features
- Cords, nests of atypical cells with squamous differentiation (intercellular bridge, squamous pearl,etc)
- Invading stroma
Genetics
- Complex, nonspecific
Treatment
- Surgery
- Preoperative radiation therapy may be considered
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