Abstract
Lymphoepithelioma-like carcinoma of the urinary bladder is a rare variant of urothelial
carcinoma that was first described by Zukerberg in 1991 and confirmed as a type of
urothelial carcinoma by the WHO classification of the urinary system tumors. A 63-year-old
man presented with the chief complaint of gross hematuria for 2 months. Sections from
transurethral resection of the bladder revealed urothelial carcinoma. A radical cystoprostatectomy
was performed and a final histopathological examination revealed high-grade muscle-invasive
urothelial carcinoma, lymphoepithelial variant. The patient has been receiving adjuvant
chemotherapy with no recurrence reported to date. This is the third case reported
in India to date to the best of our knowledge. Owing to its rare presentation, no
definite treatment guidelines have been established for this entity. Various studies
from the English literature suggest a conservative approach.
Keywords
bladder - carcinoma - lymphoepithelioma - urothelial
