Sarcoma and Carcinosarcoma of the Bladder in Adults

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Abstract
Sarcomas of the bladder occur rarely in adults. As a result, the natural history of these unusual tumors and the best methods of treatment are uncertain. Experiences with 13 patients presenting between 1979 and 1980 (5 had leiomyosarcoma, 5 had carcinosarcoma and 3 had rhabdomyosarcoma) were reviewed. Gross hematuria nearly always was the presenting symptom. Patients treated by partial cystectomy fared poorly, while 7 treated by radical cystectomy and supravesical urinary diversion had an excellent prognosis; 6 (86%) were free of disease for > 1 yr, including 4 who have survived > 45 mo. without evidence of recurence or metastasis.