Skip to main content

Morphological Variants of Invasive Urothelial Carcinoma

  • Chapter
  • First Online:
Urinary Bladder Pathology

Abstract

Urothelial carcinomas exhibit a wide range of morphological variations and various molecular alterations. Many of these variants have significant prognosis and therapeutic implications. The variants/classification has been revised in the 2016 World Health Organization (WHO) classification of tumor of the urinary system and male genital organs. In this chapter, the morphological features, diagnostic criteria and pitfalls, differential diagnoses, immunoprofile, molecular alterations, and clinical and prognostic implications for the common variants of invasive urothelial carcinoma will be reviewed. Rare variants and entities that are not included in the current WHO classification will also be discussed briefly.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Moch H, Humphrey PA, Ulbright TM, Reuter V. WHO classification of tumors of the urinary system and male genital organs. Lyon: International Agency for Research on Cancer; 2016.

    Google Scholar 

  2. Krasnow RE, Drumm M, Roberts HJ, Niemierko A, Wu CL, Wu S, Zhang J, Heney NM, Wszolek MF, Blute ML, Feldman AS, Lee RJ, Zietman AL, Shipley WU, Efstathiou JA. Clinical outcomes of patients with histologic variants of urothelial Cancer treated with Trimodality bladder-sparing therapy. Eur Urol. 2017 Jul;72(1):54–60.

    Article  PubMed  Google Scholar 

  3. Zargar-Shoshtari K, Sverrisson EF, Sharma P, et al. Clinical outcomes after neoadjuvant chemotherapy and radical cystectomy in the presence of urothelial carcinoma of the bladder with squamous or glandular differentiation. Clin Genitourin Cancer. 2016;14:82–8.

    Article  PubMed  Google Scholar 

  4. Gofrit ON, Yutkin V, Shapiro A, et al. The response of variant histology bladder cancer to intravesical immunotherapy compared to conventional cancer. Front Oncol. 2016;15:43.

    Google Scholar 

  5. Wasco MJ, Daignault S, Zhang Y, Kunju LP, Kinnaman M, Braun T, Lee CT, Shah RB. Urothelial carcinoma with divergent histologic differentiation (mixed histologic features) predicts the presence of locally advanced bladder cancer when detected at transurethral resection. Urology. 2007 Jul;70(1):69–74.

    Article  PubMed  Google Scholar 

  6. Gulmann C, Paner GP, Parakh RS, et al. Immunohistochemical profile to distinguish urothelial from squamous differentiation in carcinomas of urothelial tract. Hum Pathol. 2013;44:164–72.

    Article  CAS  PubMed  Google Scholar 

  7. Alexander RE, Hu YC, Kum JB, et al. p16 expression is not associated with human papillomavirus in urinary bladder squamous cell carcinoma. Mod Pathol. 2012;25:1526–33.

    Article  CAS  PubMed  Google Scholar 

  8. Liu Y, Bui MM, Xu B. Urothelial carcinoma with squamous differentiation is associated with high tumor stage and pelvic lymph-node metastasis. Cancer Control. 2017;24:78–82.

    Article  PubMed  Google Scholar 

  9. Martin JE, Jenkins BJ, Zuk RJ, Blandy JP, Baithun SI. Clinical importance of squamous metaplasia in invasive transitional cell carcinoma of the bladder. J Clin Pathol. 1989;42:250–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Logothetis CJ, Dexeus FH, Chong C, Sella A, Ayala AG, Ro JY, Pilat S. Cisplatin, cyclophosphamide and doxorubicin chemotherapy for unresectable urothelial tumors: the M.D. Anderson experience. J Urol. 1989 Jan;141(1):33–7.

    Article  CAS  PubMed  Google Scholar 

  11. Choi W, Porten S, Kim S, Willis D, Plimack ER, Hoffman-Censits J, Roth B, Cheng T, Tran M, Lee IL, Melquist J, Bondaruk J, Majewski T, Zhang S, Pretzsch S, Baggerly K, Siefker-Radtke A, Czerniak B, Dinney CP, McConkey DJ. Identification of distinct basal and luminal subtypes of muscle-invasive bladder cancer with different sensitivities to frontline chemotherapy. Cancer Cell. 2014 Feb 10;25(2):152–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. McConkey DJ, Choi W, Shen Y, Lee IL, Porten S, Matin SF, Kamat AM, Corn P, Millikan RE, Dinney C, Czerniak B, Siefker-Radtke AO. A prognostic gene expression signature in the molecular classification of chemotherapy-naïve urothelial Cancer is predictive of clinical outcomes from neoadjuvant chemotherapy: a phase 2 trial of dose-dense methotrexate, vinblastine, doxorubicin, and cisplatin with bevacizumab in urothelial Cancer. Eur Urol. 2016 May;69(5):855–62.

    Article  CAS  PubMed  Google Scholar 

  13. Wasco MJ, Daignault S, Zhang Y, et al. Urothelial carcinoma with divergent histologic differentiation (mixed histologic features) predicts the presence of locally advanced bladder cancer when detected at transurethral resection. Urology. 2007;70:69–74.

    Article  PubMed  Google Scholar 

  14. Kim SP, Frank I, Cheville JC, et al. The impact of squamous and glandular differentiation on survival after radical cystectomy for urothelial carcinoma. J Urol. 2012;188:405–9.

    Article  PubMed  Google Scholar 

  15. Kunze E, Francksen B, Schulz H. Expression of MUC5AC apomucin in transitional cell carcinomas of the urinary bladder and its possible role in the development of mucus-secreting adenocarcinomas. Virchows Arch. 2001;439:609–15.

    Article  CAS  PubMed  Google Scholar 

  16. Vail E, Zheng X, Zhou M, et al. Telomerase reverse transcriptase promoter mutations in glandular lesions of the urinary bladder. Ann Diagn Pathol. 2015;19:301–5.

    Article  PubMed  Google Scholar 

  17. Martin JE, Jenkins BJ, Zuk RJ, et al. Human chorionic gonadotrophin expression and histological findings as predictors of response to radiotherapy in carcinoma of the bladder. Virchows Arch A Pathol Anat Histopathol. 1989;414:273–7.

    Article  CAS  PubMed  Google Scholar 

  18. Grammatico D, Grignon DJ, Eberwein P, Shepherd RR, Hearn SA, Walton JC. Transitional cell carcinoma of the renal pelvis with choriocarcinomatous differentiation. Immunohistochemical and immunoelectron microscopic assessment of human chorionic gonadotropin production by transitional cell carcinoma of the urinary bladder. Cancer. 1993 Mar 1;71(5):1835–41.

    Article  CAS  PubMed  Google Scholar 

  19. Monn MF, Jaqua KR, Bihrle R, Cheng L. Primary choriocarcinoma of the bladder: a case report and review of literature. Clin Genitourin Cancer. 2017;15:188–91.

    Article  PubMed  Google Scholar 

  20. Young RH, Eble JN. Unusual forms of carcinoma of the urinary bladder. Hum Pathol. 1991;22:948–65.

    Article  CAS  PubMed  Google Scholar 

  21. Lopez-Beltran A, Henriques V, Montironi R, Cimadamore A, Raspollini MR, Cheng L. Variants and new entities of bladder cancer. Histopathology. 2019 Jan;74(1):77–96.

    Article  PubMed  Google Scholar 

  22. Drew PA, Furman J, Civantos F, Murphy WM. The nested variant of transitional cell carcinoma: an aggressive neoplasm with innocuous histology. Mod Pathol. 1996;9:989–94.

    CAS  PubMed  Google Scholar 

  23. Lopez Beltran A, Cheng L, Montironi R, et al. Clinicopathological characteristics and outcome of nested carcinoma of the urinary bladder. Virchows Arch. 2014;465:199–205.

    Article  Google Scholar 

  24. Linder BJ, Frank I, Cheville JC, Thompson RH, Thapa P, Tarrell RF, Boorjian SA. Outcomes following radical cystectomy for nested variant of urothelial carcinoma: a matched cohort analysis. J Urol. 2013 May;189(5):1670–5.

    Article  PubMed  Google Scholar 

  25. Mally AD, Tin AL, Lee JK, Satasivam P, Cha EK, Donat SM, Herr HW, Bochner BH, Sjoberg DD, Dalbagni G. Clinical outcomes of patients with T1 nested variant of urothelial carcinoma compared to pure urothelial carcinoma of the bladder. Clin Genitourin Cancer. 2017 Jul;14. S1558-7673(17)30199-4

    Google Scholar 

  26. Oberg TN, Kipp BR, Campion MB, Voss JS, Jimenez RE, Sebo TJ, Cheville JC, Halling KC, Zhou M, Zhang J. Utilization of FISH to distinguish urothelial carcinoma with nested variant growth pattern from von Brunn’s nests. Mod Pathol. 2010;23(Suppl 1):934.

    Google Scholar 

  27. Zhong M, Tian W, Zhuge J, Zheng X, Huang T, Cai D, Zhang D, Yang XJ, Argani P, Fallon JT, Epstein JI. Distinguishing nested variants of urothelial carcinoma from benign mimickers by TERT promoter mutation. Am J Surg Pathol. 2015 Jan;39(1):127–31.

    Article  PubMed  Google Scholar 

  28. Paner GP, Annaiah C, Gulmann C, Rao P, Ro JY, Hansel DE, Shen SS, Lopez-Beltran A, Aron M, Luthringer DJ, De Peralta-Venturina M, Cho Y, Amin MB. Immunohistochemical evaluation of novel and traditional markers associated with urothelial differentiation in a spectrum of variants of urothelial carcinoma of the urinary bladder. Hum Pathol. 2014 Jul;45(7):1473–82.

    Article  CAS  PubMed  Google Scholar 

  29. Lopez Beltran A, Montironi R, Cheng L. Microcystic urothelial carcinoma: morphology, immunohistochemistry and clinical behaviour. Histopathology. 2014 May;64(6):872–9.

    Article  PubMed  Google Scholar 

  30. Amin MB, Ro JY, el-Sharkawy T, Lee KM, Troncoso P, Silva EG, Ordóñez NG, Ayala AG. Micropapillary variant of transitional cell carcinoma of the urinary bladder. Histologic pattern resembling ovarian papillary serous carcinoma. Am J Surg Pathol. 1994 Dec;18(12):1224–32.

    Article  CAS  PubMed  Google Scholar 

  31. Sangoi AR, Higgins JP, Rouse RV, Schneider AG, McKenney JK. Immunohistochemical comparison of MUC1, CA125, and Her2Neu in invasive micropapillary carcinoma of the urinary tract and typical invasive urothelial carcinoma with retraction artifact. Mod Pathol. 2009 May;22(5):660–7.

    Article  CAS  PubMed  Google Scholar 

  32. Lopez-Beltran A, Montironi R, Blanca A, Cheng L. Invasive micropapillary urothelial carcinoma of the bladder. Hum Pathol. 2010 Aug;41(8):1159–64.

    Article  PubMed  Google Scholar 

  33. Wang JK, Boorjian SA, Cheville JC, Kim SP, Tarrell RF, Thapa P, Frank I. Outcomes following radical cystectomy for micropapillary bladder cancer versus pure urothelial carcinoma: a matched cohort analysis. World J Urol. 2012 Dec;30(6):801–6.

    Article  PubMed  Google Scholar 

  34. Spaliviero M, Dalbagni G, Bochner BH, Poon BY, Huang H, Al-Ahmadie HA, Donahue TF, Taylor JM, Meeks JJ, Sjoberg DD, Donat SM, Reuter VE, Herr HW. Clinical outcome of patients with T1 micropapillary urothelial carcinoma of the bladder. J Urol. 2014 Sep;192(3):702–7.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Willis DL, Fernandez MI, Dickstein RJ, Parikh S, Shah JB, Pisters LL, Guo CC, Henderson S, Czerniak BA, Grossman HB, Dinney CP, Kamat AM. Clinical outcomes of cT1 micropapillary bladder cancer. J Urol. 2015 Apr;193(4):1129–34.

    Article  PubMed  Google Scholar 

  36. Amin A, Epstein JI. Noninvasive micropapillary urothelial carcinoma: a clinicopathologic study of 18 cases. Hum Pathol. 2012 Dec;43(12):2124–8.

    Article  PubMed  Google Scholar 

  37. Ching CB, Amin MB, Tubbs RR, Elson P, Platt E, Dreicer R, Fergany A, Hansel DE. HER2 gene amplification occurs frequently in the micropapillary variant of urothelial carcinoma: analysis by dual-color in situ hybridization. Mod Pathol. 2011 Aug;24(8):1111–9.

    Article  CAS  PubMed  Google Scholar 

  38. Schneider SA, Sukov WR, Frank I, Boorjian SA, Costello BA, Tarrell RF, Thapa P, Houston Thompson R, Tollefson MK, Jeffrey Karnes R, Cheville JC. Outcome of patients with micropapillary urothelial carcinoma following radical cystectomy: ERBB2 (HER2) amplification identifies patients with poor outcome. Mod Pathol. 2014 May;27(5):758–64.

    Article  CAS  PubMed  Google Scholar 

  39. Guo CC, Dadhania V, Zhang L, Majewski T, Bondaruk J, Sykulski M, Wronowska W, Gambin A, Wang Y, Zhang S, Fuentes-Mattei E, Kamat AM, Dinney C, Siefker-Radtke A, Choi W, Baggerly KA, McConkey D, Weinstein JN, Czerniak B. Gene expression profile of the clinically aggressive micropapillary variant of bladder cancer. Eur Urol. 2016 Oct;70(4):611–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Gulley ML, Amin MB, Nicholls JM, Banks PM, Ayala AG, Srigley JR, Eagan PA, Ro JY. Epstein-Barr virus is detected in undifferentiated nasopharyngeal carcinoma but not in lymphoepithelioma-like carcinoma of the urinary bladder. Hum Pathol. 1995 Nov;26(11):1207–14.

    Article  CAS  PubMed  Google Scholar 

  41. Lopez-Beltrán A, Luque RJ, Vicioso L, Anglada F, Requena MJ, Quintero A, Montironi R. Lymphoepithelioma-like carcinoma of the urinary bladder: a clinicopathologic study of 13 cases. Virchows Arch. 2001 Jun;438(6):552–7.

    Article  PubMed  Google Scholar 

  42. Tamas EF, Nielsen ME, Schoenberg MP, Epstein JI. Lymphoepithelioma-like carcinoma of the urinary tract: a clinicopathological study of 30 pure and mixed cases. Mod Pathol. 2007 Aug;20(8):828–34.

    Article  PubMed  Google Scholar 

  43. Yoshino T, Ohara S, Moriyama H. Lymphoepithelioma-like carcinoma of the urinary bladder: a case report and review of the literature. BMC Res Notes. 2014 Nov 4;7:779. https://doi.org/10.1186/1756-0500-7-779.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Dinney CP, Ro JY, Babaian RJ, Johnson DE. Lymphoepithelioma of the bladder: a clinicopathological study of 3 cases. J Urol. 1993 Apr;149(4):840–1.

    Article  CAS  PubMed  Google Scholar 

  45. Amin MB, Ro JY, Lee KM, Ordóñez NG, Dinney CP, Gulley ML, Ayala AG. Lymphoepithelioma-like carcinoma of the urinary bladder. Am J Surg Pathol. 1994 May;18(5):466–73.

    Article  CAS  PubMed  Google Scholar 

  46. Manocha U, Kardos J, Selitsky S, Zhou M, Johnson SM, Breslauer C, Epstein JI, Kim WY, Wobker SE. RNA expression profiling of Lymphoepithelioma-like carcinoma of the bladder reveals a basal-like molecular subtype. Am J Pathol. 2020 Jan;190(1):134–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Ro JY, Shen SS, Lee HI, Hong EK, Lee YH, Cho NH, Jung SJ, Choi YJ, Ayala AG. Plasmacytoid transitional cell carcinoma of urinary bladder: a clinicopathologic study of 9 cases. Am J Surg Pathol. 2008 May;32(5):752–7.

    Article  PubMed  Google Scholar 

  48. Nigwekar P, Tamboli P, Amin MB, Osunkoya AO, Ben-Dor D, Amin MB. Plasmacytoid urothelial carcinoma: detailed analysis of morphology with clinicopathologic correlation in 17 cases. Am J Surg Pathol. 2009 Mar;33(3):417–24.

    Article  PubMed  Google Scholar 

  49. Keck B, Stoehr R, Wach S, Rogler A, Hofstaedter F, Lehmann J, Montironi R, Sibonye M, Fritsche HM, Lopez-Beltran A, Epstein JI, Wullich B, Hartmann A. The plasmacytoid carcinoma of the bladder – rare variant of aggressive urothelial carcinoma. Int J Cancer. 2011 Jul 15;129(2):346–54.

    Google Scholar 

  50. Fox MD, Xiao L, Zhang M, Kamat AM, Siefker-Radtke A, Zhang L, Dinney CP, Czerniak B, Guo CC. Plasmacytoid urothelial carcinoma of the urinary bladder: a clinicopathologic and immunohistochemical analysis of 49 cases. Am J Clin Pathol. 2017 May 1;147(5):500–6.

    Article  CAS  PubMed  Google Scholar 

  51. Keck B, Wach S, Kunath F, Bertz S, Taubert H, Lehmann J, Stöckle M, Wullich B, Hartmann A. Nuclear E-cadherin expression is associated with the loss of membranous E-cadherin, plasmacytoid differentiation and reduced overall survival in urothelial carcinoma of the bladder. Ann Surg Oncol. 2013 Jul;20(7):2440–5.

    Article  PubMed  Google Scholar 

  52. Al-Ahmadie HA, Iyer G, Lee BH, Scott SN, Mehra R, Bagrodia A, Jordan EJ, Gao SP, Ramirez R, Cha EK, Desai NB, Zabor EC, Ostrovnaya I, Gopalan A, Chen YB, Fine SW, Tickoo SK, Gandhi A, Hreiki J, Viale A, Arcila ME, Dalbagni G, Rosenberg JE, Bochner BH, Bajorin DF, Berger MF, Reuter VE, Taylor BS, Solit DB. Frequent somatic CDH1 loss-of-function mutations in plasmacytoid variant bladder cancer. Nat Genet. 2016 Apr;48(4):356–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Borhan WM, Cimino-Mathews AM, Montgomery EA, Epstein JI. Immunohistochemical differentiation of plasmacytoid urothelial carcinoma from secondary carcinoma involvement of the bladder. Am J Surg Pathol. 2017 Nov;41(11):1570–5.

    Article  PubMed  Google Scholar 

  54. Kim DK, Kim JW, Ro JY, Lee HS, Park JY, Ahn HK, Lee JY, Cho KS. Plasmacytoid variant urothelial carcinoma of the bladder: a systematic review and meta-analysis of clinicopathological features and survival outcomes. J Urol. 2020 Aug;204(2):215–23.

    Article  PubMed  Google Scholar 

  55. Dayyani F, Czerniak BA, Sircar K, Munsell MF, Millikan RE, Dinney CP, Siefker-Radtke AO. Plasmacytoid urothelial carcinoma, a chemosensitive cancer with poor prognosis, and peritoneal carcinomatosis. J Urol. 2013 May;189(5):1656–61.

    Article  PubMed  Google Scholar 

  56. Lopez-Beltran A, Blanca A, Montironi R, Cheng L, Regueiro JC. Pleomorphic giant cell carcinoma of the urinary bladder. Hum Pathol. 2009 Oct;40(10):1461–6.

    Article  CAS  PubMed  Google Scholar 

  57. Samaratunga H, Delahunt B, Egevad L, Adamson M, Hussey D, Malone G, Hoyle K, Nathan T, Kerle D, Ferguson P, Nacey JN. Pleomorphic giant cell carcinoma of the urinary bladder: an extreme form of tumour de-differentiation. Histopathology. 2016 Mar;68(4):533–40.

    Article  PubMed  Google Scholar 

  58. Cheng L, Zhang S, Alexander R, Maclennan GT, Hodges KB, Harrison BT, Lopez-Beltran A, Montironi R. Sarcomatoid carcinoma of the urinary bladder: the final common pathway of urothelial carcinoma dedifferentiation. Am J Surg Pathol. 2011 May;35(5):e34–46.

    Article  PubMed  Google Scholar 

  59. Sanfrancesco J, McKenney JK, Leivo MZ, Gupta S, Elson P, Hansel DE. Sarcomatoid urothelial carcinoma of the bladder: analysis of 28 cases with emphasis on clinicopathologic features and markers of epithelial-to-mesenchymal transition. Arch Pathol Lab Med. 2016 Jun;140(6):543–51.

    Article  PubMed  Google Scholar 

  60. Chang A, Brimo F, Montgomery EA, Epstein JI. Use of PAX8 and GATA3 in diagnosing sarcomatoid renal cell carcinoma and sarcomatoid urothelial carcinoma. Hum Pathol. 2013 Aug;44(8):1563–8.

    Article  CAS  PubMed  Google Scholar 

  61. Lopez-Beltran A, Luque RJ, Mazzucchelli R, Scarpelli M, Montironi R. Changes produced in the urothelium by traditional and newer therapeutic procedures for bladder cancer. J Clin Pathol. 2002;55:641–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Jones EC, Young RH. Myxoid and sclerosing sarcomatoid transitional cell carcinoma of the urinary bladder: a clinicopathologic and immunohistochemical study of 25 cases. Mod Pathol. 1997;10:908–16.

    CAS  PubMed  Google Scholar 

  63. Baydar D, Amin MB, Epstein JI. Osteoclast-rich undifferentiated carcinomas of the urinary tract. Mod Pathol. 2006;19:161–71.

    Article  PubMed  Google Scholar 

  64. Priore SF, Schwartz LE, Epstein JI. An expanded immunohistochemical profile of osteoclast-rich undifferentiated carcinoma of the urinary tract. Mod Pathol. 2018 Jun;31(6):984–8.

    Article  CAS  PubMed  Google Scholar 

  65. Leroy X, Gonzalez S, Zini L, Aubert S. Lipoid-cell variant of urothelial carcinoma: a clinicopathologic and immunohistochemical study of five cases. Am J Surg Pathol. 2007 May;31(5):770–3.

    Article  PubMed  Google Scholar 

  66. Lopez-Beltran A, Amin MB, Oliveira PS, Montironi R, Algaba F, McKenney JK, de Torres I, Mazerolles C, Wang M, Cheng L. Urothelial carcinoma of the bladder, lipid cell variant: clinicopathologic findings and LOH analysis. Am J Surg Pathol. 2010 Mar;34(3):371–6.

    Article  PubMed  Google Scholar 

  67. Paner GP, Cox RM, Richards K, Akki A, Gokden N, Lopez-Beltran A, Krausz T, McKenney JK, Steinberg GD. Pseudoangiosarcomatous urothelial carcinoma of the urinary bladder. Am J Surg Pathol. 2014 Sep;38(9):1251–9.

    Article  PubMed  Google Scholar 

  68. Yıldız P, Behzatoğlu K, Hacıhasanoğlu E, Okcu O, Durak H, Yücetaş U. Histological, immunohistochemical features and pathogenesis of pseudoangiosarcomatous urothelial carcinoma. Ann Diagn Pathol. 2017 Oct;30:17–20.

    Article  PubMed  Google Scholar 

  69. Cox RM, Schneider AG, Sangoi AR, Clingan WJ, Gokden N, McKenney JK. Invasive urothelial carcinoma with chordoid features: a report of 12 distinct cases characterized by prominent myxoid stroma and cordlike epithelial architecture. Am J Surg Pathol. 2009 Aug;33(8):1213–9.

    Article  PubMed  Google Scholar 

  70. Tavora F, Epstein JI. Urothelial carcinoma with abundant myxoid stroma. Hum Pathol. 2009 Oct;40(10):1391–8.

    Article  CAS  PubMed  Google Scholar 

  71. Kumar S, Kumar D, Cowan DF. Transitional cell carcinoma with rhabdoid features. Am J Surg Pathol. 1992;16:515–21.

    Article  CAS  PubMed  Google Scholar 

  72. Parwani AV, Herawi M, Volmar K, Tsay SH, Epstein JI. Urothelial carcinoma with rhabdoid features: report of 6 cases. Hum Pathol. 2006;37:168–72.

    Article  PubMed  Google Scholar 

  73. Agaimy A, Bertz S, Cheng L, Hes O, Junker K, Keck B, Lopez-Beltran A, Stöckle M, Wullich B, Hartmann A. Loss of expression of the SWI/SNF complex is a frequent event in undifferentiated/dedifferentiated urothelial carcinoma of the urinary tract. Virchows Arch. 2016 Sep;469(3):321–30.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fang-Ming Deng .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Park, K.E., Zhai, Q.“., Deng, FM. (2021). Morphological Variants of Invasive Urothelial Carcinoma. In: Zhou, H., Guo, C.C., Ro, J.Y. (eds) Urinary Bladder Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-71509-0_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-71509-0_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71508-3

  • Online ISBN: 978-3-030-71509-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics