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Case Reports in Urology
Volume 2013, Article ID 931893, 4 pages
http://dx.doi.org/10.1155/2013/931893
Case Report

Sarcomatoid Carcinoma of Male Urethra with Bone and Lung Metastases Presenting as Urethral Stricture

1Washington University School of Medicine, St. Louis, MO 63110, USA
2Department of Urology, Houston Methodist Hospital, Houston, TX 77030, USA
3Department of Pathology, Houston Methodist Hospital, Houston, TX 77030, USA
4Scott Department of Urology, Baylor College of Medicine, 6620 Main Street, Houston, TX 77030, USA

Received 2 August 2013; Accepted 27 August 2013

Academic Editors: N. Eke and F. Ramezanzadeh

Copyright © 2013 Niraj Badhiwala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 57-year-old man who presented with urinary retention was found to have a sarcomatoid carcinoma of the urethra. Evaluation with CT scan of the abdomen and pelvis revealed multiple pulmonary nodules and osteolytic lesions of left posterior ribs. After external beam radiation therapy and six cycles of systemic chemotherapy, patient underwent a surgical resection of the urethral cancer. After his surgery, patient was also found to have multiple brain metastases and underwent whole brain radiation therapy, nine months after his initial diagnosis. Sarcomatoid carcinomas of the genitourinary tract are extremely rare tumors that require a very aggressive, multimodal treatment approach.