Skip to main content
SpringerLink
Log in
Book cover

Carcinoma of the Kidney and Testis, and Rare Urologic Malignancies pp 393–401Cite as

Adult Genitourinary Sarcomas: Pelvic Sarcomas

  • Chapter

  • 168 Accesses

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

Abstract

Soft tissue sarcomas are rare, accounting for approximately 1% of all malignant tumors (Suit et al. 1975). Most patients present with large, high-grade tumors that are very aggressive locally and tend to spread hematogenously. In general, adults have a worse prognosis than children with the same sarcoma. The largest series of genitourinary sarcomas is from Memorial Sloan-Kettering Cancer Center involving a prospective data base of 43 patients. This study revealed that 86% of tumors were high grade, 56% of tumors were >5 cm in diameter and 21% of the patients presented with metastatic disease (Russo et al. 1992). In this series, complete surgical resection was possible in 58% of cases. The authors reported an actuarial relapse-free survival rate for urologic sarcomas of 55% and 40% at 3 and 5 years, respectively, regardless of histologic type, patient age, or sex (Russo et al. 1992). Despite the modern forms of therapy used in this series, their data are not significantly different from historical controls (Powers et al. 1956).

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ahlering TE, Weintraub P, Skinner DG (1988) Management of adult sarcomas of the bladder and prostate. J Urol 140: 1397–1399

    PubMed  CAS  Google Scholar 

  • Alabaster AM, Jordan WP, Soloway MS, Shippel RM, Young JM (1981) Leiomyosarcoma of the bladder and subsequent urethral recurrence. J Urol 125: 583–585

    PubMed  CAS  Google Scholar 

  • Angervall L, Hagmar B, Kindblom L-G, et al. (1981) Malignant giant cell tumor of soft tissues: a clinicopathologic, ultra-structural, angiographic and microangiographic study. Cancer 47: 736–747

    Article  PubMed  CAS  Google Scholar 

  • Aragona F, Ostardo E, Prayer-Galetti T, Piazza R, Capitanio G (1991) Angiosarcoma of the bladder: a case report with regard to histologic and immunohistochemical findings. Eur Urol 20: 161–163

    PubMed  CAS  Google Scholar 

  • Belli J A, Piro AJ (1977) The interaction between radiation and adriamycin damage in mammalian cells. Cancer Res 37: 1624–1630

    PubMed  CAS  Google Scholar 

  • Benson RC, Clark WR, Farrow GM (1984) Carcinoma of the seminal vesicle. J Urol 132: 483–485

    PubMed  Google Scholar 

  • Berenson RJ, Flynn S, Freiha FS, Kempson RL, Torti FM (1986) Primary osteosarcoma of the bladder. Cancer 57: 350–355

    Article  PubMed  CAS  Google Scholar 

  • Celik C, Karakousis CP, Moore R, Holyoke ED (1980) Liposarcomas: prognosis and management. J Surg Oncol 14: 245

    Article  PubMed  CAS  Google Scholar 

  • Cheville JC, Dundore PA, Nascimento AG, Meneses M, Kleer E, Farrow GM, Bostwick DG (1995) Leiomyosarcoma of the prostate. Cancer 76: 1422–1427

    Article  PubMed  CAS  Google Scholar 

  • Chiou RK, Limas C, Lange PH (1985) Hemangiosarcoma of the seminal vesicle: case report and literature review. J Urol 134: 371–373

    PubMed  CAS  Google Scholar 

  • Dalgaard JB, Giertsen JC (1956) Primary carcinoma of the seminal vesicle; case and survey. Acta Pathol Microbiol Scand 39: 255–257

    Article  PubMed  CAS  Google Scholar 

  • Das S (1980) Retrovesical liposarcoma. Br J Urol 52:163 Dundore PA, Cheville JC, Nascimento AG, Farrow GM, Bostwick DG (1995) Carcinosarcoma of the prostate. A report of 21 cases. Cancer 76: 1035–1042

    Google Scholar 

  • Dundore PA, Cheville JC, Nascimento AG, Farrow GM, Bostwik DG (1995) Carcinosarcoma of the prostate. A report of 21 cases. Cancer 76:1035–1042.

    Google Scholar 

  • Edson M, Friedman J, Richardson JF (1961) Perivesicalliposarcoma: a case report. J Urol 85: 767–770

    Google Scholar 

  • Egawa S, Uchida T, Koshiba K, Kagata Y, Iwabuchi K (1994) Malignant fibrous histiocytoma of the bladder with focal rhabdoid tumor differentiation. J Urol 151: 154–156

    PubMed  CAS  Google Scholar 

  • Enzinger FM, Winslow DJ (1962) Liposarcoma. A study of 103 cases. Virchows Arch A Pathol Anat Histopathol 335: 367

    CAS  Google Scholar 

  • Espinoza CG, Azar HA (1982) Immunohistochemical localization of keratin-type proteins in epithelial neoplasms: correlation with electron microscopic findings. Am J Clin Pathol 78: 500–507

    PubMed  CAS  Google Scholar 

  • Hollowood K, Fletcher CDM (1995) Malignant fibrous histiocytoma: morphologic pattern or pathologic entity. Semin Diag Pathol 12: 210–220

    CAS  Google Scholar 

  • Johansen TEB, Huseby A, Stenwig JT (1988) Extraskeletal Ewing’s sarcoma contiguous with the seminal vesicle. Scand J Urol Nephrol 22: 237–239

    Google Scholar 

  • Kabalin JN, Freiha FS, Niebel JD (1990) Leiomyoma of bladder. Urology 35: 210–212

    Article  PubMed  CAS  Google Scholar 

  • Kinne DW, Chu FC, Huvos AG, Yagoda A, Fortner JG (1973) Treatment of primary and recurrent retroperitoneal liposarcoma. Twenty-five year experience at Memorial Hospital. Cancer 31: 53

    Google Scholar 

  • Lazarus JA (1946) Primary malignant tumors of the retro-vesical region with special reference to malignant tumors of the seminal vesicle; report of a case of retrovesical sarcoma. J Urol 55: 190

    PubMed  CAS  Google Scholar 

  • Leite C, Goodwin JW, Sinkovics JG, Baker LH, Benjamen R (1977) Chemotherapy of malignant fibrous histiocytoma: a Southwestern Oncology Group report. Cancer 40: 2010

    Google Scholar 

  • Mackenzie AR, Whitmore WF, Melamed MR (1968) Myosarcomas of the bladder and prostate. Cancer 22:833– 844

    Google Scholar 

  • Mackenzie AR, Sharma TC, Whitmore WF, Melamed MR (1971) Non-extirpative treatment of myosarcomas of the bladder and prostate. Cancer 28: 329–334

    Article  PubMed  CAS  Google Scholar 

  • Morgan MA, Moutos DM, Pippitt CH, Suda RR, Smith JJ, Thurnau GR (1989) Vaginal and bladder angiosarcoma after therapeutic irradiation. South Med J 82: 1434–1436

    Article  PubMed  CAS  Google Scholar 

  • Nghiem HV, Sommer FG, Moretto JC (1995) MRI of radiation-induced prostate sarcoma. Clin Imag 19: 54–56

    Article  CAS  Google Scholar 

  • Nicolai CH, Spjut HJ (1959) Primary osteogenic sarcoma of the bladder. J Urol 82: 497–499

    PubMed  CAS  Google Scholar 

  • Oesterling JE, Epstein JI, Brendler CB (1990) Myxoid malignant fibrous histiocytoma of the bladder. Cancer 66: 1836–1842

    Article  PubMed  CAS  Google Scholar 

  • Olson EM, Trambert MA, Mattrey RF (1994) Cystosarcoma phylloides of the prostate: MRI findings. Abdom Imag 19: 180–181

    Google Scholar 

  • Ordonez NG, Ayala AG, von Eschenbach AC, Mackay B, Hanssen G (1982) Immunoperoxidase localization of prostatic acid phosphatase in prostatic carcinoma with sarcomatoid changes. Urology 19: 210–214

    Article  PubMed  CAS  Google Scholar 

  • Patterson DE, Barrett DM (1983) Leiomyosarcoma of the urinary bladder. Urology 21: 367–369

    Article  PubMed  CAS  Google Scholar 

  • Polsky MS, Vitenson JH, Wilson JM, Woodhead DM, Weber CH (1974) Retrovesical liposarcoma. Urology 3: 226

    Article  PubMed  CAS  Google Scholar 

  • Powers JH, Van Zandt Hawn C, Carter RD (1956) Osteogenic sarcoma and transitional cell carcinoma occurring simultaneously in the urinary bladder: report of a case. J Urol 76: 263–269

    PubMed  Google Scholar 

  • Ravi R (1993) Primary angiosarcoma of the urinary bladder. Arch Esp Urol 46: 351–353

    PubMed  CAS  Google Scholar 

  • Reagan MT, Clowry LJ, Cox JD, Rongala N (1981) Radiation therapy in the treatment of malignant fibrous histio¬cytoma. Int J Radiat Oncol Biol Phys 7: 311–315

    Article  PubMed  CAS  Google Scholar 

  • Ro JY, El–Naggar AK, Amin MB, Sahin AA, Ordonez NG, Ayala AG (1993) Pseudosarcomatous fibromyxoid tumor of the urinary bladder and prostate. Hum Pathol 24:1203– 1210

    Google Scholar 

  • Rosi P, Selli C, Carini M, Rosi MF (1983) Myxoid liposarcoma of the bladder. J Urol 130: 560–561

    PubMed  CAS  Google Scholar 

  • Russo P, Brady MS, Conlon K, Hajdu SI, Fair WR, Herr HW, Brennan MF (1992) Adult urologic sarcoma. J Urol 147: 1032–1037

    PubMed  CAS  Google Scholar 

  • Russo P, Demas B, Reuter V (1993) Adult prostatic sarcoma. Abdom Imag 18: 399–401

    Article  CAS  Google Scholar 

  • Schned AR, Ledbetter JS, Selikowitz SM (1986) Primary leiomyosarcoma of the seminal vesicle. Cancer 57:2202– 2206

    Google Scholar 

  • Schoborg TW, Saffos RO, Rodriquez AP, Scott C (1980) Carcinosarcoma of the bladder. J Urol 124: 724–727

    PubMed  CAS  Google Scholar 

  • Scully JM, Uno JM, Mclntyre M, Mosely S (1990) Radiation-induced prostatic sarcoma: a case report. J Urol 144:746– 748

    Google Scholar 

  • Sen SE, Malek RS, Farrow GM, Lieber MM (1985) Sarcoma and carcinosarcoma of the bladder in adults. J Urol 133: 29–30

    PubMed  CAS  Google Scholar 

  • Shannon RL, Ro JY, Grignon DJ, Ordonez NG, Johnson DE, Mackay B, Tetu B, Ayala AG (1992) Sarcomatoid carcinoma of the prostate. Cancer 69: 2676–2682

    Article  PubMed  CAS  Google Scholar 

  • Smith G, Kellert E (1944) Leiomyosarcoma of the urinary bladder. Urol Cutan Rev 48: 564–566

    Google Scholar 

  • Suit HD, Rüssel WO, Martin RG (1975) Sarcoma of soft tissue: clinical and histopathologic parameters and response to treatment. Cancer 35: 1478

    Article  PubMed  CAS  Google Scholar 

  • Swartz DA, Johnson DE, Ayala AG, Watkins DL (1985) Bladder leiomyosarcoma: a review of 10 cases with 5-year follow-up. J Urol 133: 200–202

    PubMed  CAS  Google Scholar 

  • Tannenbaum M (1975) Sarcomas of the prostate gland. Urology 5: 810–814

    Article  PubMed  CAS  Google Scholar 

  • Torenbeek R, Blomjous CEM, de Bruin PC, Newling DWW, Meijer CJLM (1994) Sarcomatoid carcinoma of the urinary bladder. Am J Surg Pathol 18: 241–249

    CAS  Google Scholar 

  • Tripathi VNP, Dick VS (1969) Primary sarcoma of the urogenital system in adults. J Urol 101: 898–904

    PubMed  CAS  Google Scholar 

  • Tsukamoto T, Leiber MM (1991) Sarcomas of the kidney, urinary bladder, prostate, spermatic cord, paratestis and testis in adults. In: Raaf JH (ed) Management of soft tissue sarcomas. Year Book Medical Publishers, Chicago

    Google Scholar 

  • Waring PM, Newland RC (1992) Prostatic embryonal rhabdomyosarcoma in adults. Cancer 69: 755–762

    Article  PubMed  CAS  Google Scholar 

  • Weiss SW (1982) Malignant fibrous histiocytoma. A reaffirmation. Am J Surg Pathol 6: 773–784

    Article  PubMed  CAS  Google Scholar 

  • Weiss SW, Enzinger FM (1977) Myxoid variant of malignant fibrous histiocytoma. Cancer 39: 1672–1685

    Article  PubMed  CAS  Google Scholar 

  • Wick MR, Young RH, Malvesta R, Beebe DS, Hansen JJ, Dehner LP (1989) Prostatic carcinosarcomas. Clinical, histologic and immunohistochemical data on two cases, with a review of the literature. Am J Clin Pathol 92: 131–139

    Google Scholar 

  • Williamson RCN (1978) Seminal vesicle tumours. J R Soc Med 71: 286–288

    PubMed  CAS  Google Scholar 

  • Yao JCT, Wang WCC, Tseng HH, Hwang WS (1988) Primary rhabdomyosarcoma of the prostate. Acta Cytol 32: 509–512

    PubMed  CAS  Google Scholar 

  • Young RH, Rosenberg AE (1987) Osteosarcoma of the urinary bladder. Cancer 59: 174–178

    Article  PubMed  CAS  Google Scholar 

  • Zenklusen HR, Weymuth G, Rist M, Mihatsch MJ (1990) Carcinosarcoma of the prostate in combination with adenocarcinoma of the prostate and adenocarcinoma of the seminal vesicles: a case report with immunohistochemical analysis and review of the literature. Cancer 66: 998–1001

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, USC School of Medicine, 1441 Eastlake Ave, Suite 7414, MS-74, Los Angeles, CA, 90033, USA

    C. E. Salem MD (Urologic Oncology Fellow), J. P. Stein MD (Assistant Professor of Medicine) & D. G. Skinner MD (Professor and Chairman)

Authors
  1. C. E. Salem MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. P. Stein MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. G. Skinner MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiation Oncology Kenneth Norris Jr. Cancer Hospital and Research Institute, University of Southern California School of Medicine, 1441 Eastlake Avenue, 90033-004, Los Angeles, CA, USA

    Zbigniew Petrovich MD, FACR (Professor of Radiation Oncology and Urology Chairman) (Professor of Radiation Oncology and Urology Chairman)

  2. Department of Urology, Catholic University of Leuven, University Hospitals Gasthuisberg, 49, Herestraat, B-3000, Leuven, Belgium

    Luc Baert MD, PhD (Professor and Chairman) (Professor and Chairman)

  3. Hylda Cohn/American Cancer Society, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor) (Professor of Clinical Oncology, and Professor)

  4. Department of Radiation Oncology, Allegheny University of the Health Sciences Allegheny University Hospitals, Hahnemann Broad & Vine Sts., Mail Stop 200, Philadelphia, PA, 19102-1192, USA

    Luther W. Brady MD (Professor of Clinical Oncology, and Professor) (Professor of Clinical Oncology, and Professor)

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Salem, C.E., Stein, J.P., Skinner, D.G. (1999). Adult Genitourinary Sarcomas: Pelvic Sarcomas. In: Petrovich, Z., Baert, L., Brady, L.W. (eds) Carcinoma of the Kidney and Testis, and Rare Urologic Malignancies. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59839-5_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59839-5_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64144-2

  • Online ISBN: 978-3-642-59839-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation