BMJ Case Reports 2018; doi:10.1136/bcr-2018-224255
  • Rare disease

Embryonal rhabdomyosarcoma of urinary bladder in an adult patient: an unusual manifestation

  1. Rahul Janak Sinha
  1. Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Rahul Janak Sinha, rahuljanaksinha{at}
  • Accepted 2 April 2018
  • Published 13 April 2018


An adult man presented with off and on painless haematuria, which was diagnosed as bladder mass on contrast-enhanced CT. He underwent transurethral resection of bladder tumour with complete resection. A diagnosis of embryonal rhabdomyosarcoma was made following histopathology and immunohistochemistry report. The patient was planned for radical cystectomy but was found to have large recurrent infiltrating bladder mass with liver and bone metastasis. Hence, the plan for radical cystectomy was deferred and the patient was counselled regarding chemotherapy (vincristine, cisplatin and doxorubicin regime). The patient tolerated the first cycle of chemotherapy, but his condition deteriorated prior to the second cycle and the patient expired.


  • Contributors AA: concept, design, supervision, processing, writing manuscript and critical analysis. VS: concept, design, supervision, processing, writing manuscript and critical analysis. SP: supervision, processing, writing manuscript and critical analysis. RJS: concept, supervision, writing manuscript and critical analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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