title: [Infiltrative small cell carcinoma of the bladder. New case report: treatment with radical surgery and chemotherapy].
abstract: OBJECTIVE
  To report a new case of infiltrative small cell bladder cancer.
  
  
  METHODS
  We describe the case of a 60-year-old male patient who consulted for monosymptomatic hematuria over a few weeks. Cystoscopy showed a neoplasia in the anterior wall of the bladder. Pathological analysis of the TUR chips was compatible with infiltrative small cell tumor. After a negative staging study radical cystectomy plus adjuvant chemotherapy were indicated.
  
  
  RESULTS
  Pathological study of the surgical specimen confirmed the diagnosis with involvement of the surrounding fat. There is no evidence of neoplasic involvement after 24 months follow-up.
  
  
  CONCLUSIONS
  We point out the validity of a radical surgical approach for this tumor, also emphasizing the importance of adjuvant chemotherapy. We concur with other authors in the need of multicentric studies to outline the most effective surgical option, due to the limited number of cases of this entity.
authors.affiliation: Servicio de Urología, Complejo Hospitalaria de Zamora, Zamora, España. ncruz_g@hotmail.com
authors.forename: Nicolás Alberto
authors.initials: NA
authors.lastname: Cruz Guerra
authors.forename: Angel
authors.initials: A
authors.lastname: Fradejas Rodríguez
authors.forename: Tomas
authors.initials: T
authors.lastname: Zamora Martínez
authors.forename: Alberto
authors.initials: A
authors.lastname: del Valle Manteca
authors.forename: Antonio
authors.initials: A
authors.lastname: Tinajas Saldaña
authors.forename: Antonio
authors.initials: A
authors.lastname: Tarroc Blanco
mesh_terms: D018288:Carcinoma, Small Cell / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*