TY - JOUR T1 - Comparison of two patients presenting with the clear cell variant of urothelial cell carcinoma of the urinary bladder: laser-assisted partial cystectomy for local disease versus chemotherapy for locally advanced disease JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-228904 VL - 12 IS - 6 SP - e228904 AU - James P Blackmur AU - Nadja Melquiot AU - Katherine E Robertson AU - Seamus Teahan Y1 - 2019/06/01 UR - http://casereports.bmj.com/content/12/6/e228904.abstract N2 - A 43-year-old woman and a 73-year-old man were referred separately from primary care to the urology service with short histories of frank haematuria. In both cases, histology from transurethral resection of their bladder tumours demonstrated the rare clear cell variant of urothelial/transitional cell carcinoma. Staging scans found the former patient had low-volume local disease, and the latter had locally advanced disease. The former patient went on to have partial cystectomy and pelvic lymph node dissection (with the endoscopic portion of the partial cystectomy undertaken by holmium:YAG laser), while the latter was found to have inoperable disease, and proceeded to chemotherapy. The former patient was alive with no evidence of disease recurrence at 45 months, while the latter was alive but with extensive lymph nodal recurrence at 45 months. ER -