Primary large cell neuroendocrine carcinoma of the urethra: a case report

BackgroundPrimary neuroendocrine carcinoma of the urethra is a very uncommon malignant tumor, and no reports have been made about large cell neuroendocrine carcinoma (LCNEC) in the past.Case descriptionA 43-year-old non-smoking female patient presented with symptoms of dysuria and urination-related...

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Main Authors: Jianbai Chen, Xiaorong Mou, Zhiming Zhang, Zhiyong Nie, Jianxin Qiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Urology
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Online Access:https://www.frontiersin.org/articles/10.3389/fruro.2025.1440538/full
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author Jianbai Chen
Xiaorong Mou
Zhiming Zhang
Zhiyong Nie
Jianxin Qiu
author_facet Jianbai Chen
Xiaorong Mou
Zhiming Zhang
Zhiyong Nie
Jianxin Qiu
author_sort Jianbai Chen
collection DOAJ
description BackgroundPrimary neuroendocrine carcinoma of the urethra is a very uncommon malignant tumor, and no reports have been made about large cell neuroendocrine carcinoma (LCNEC) in the past.Case descriptionA 43-year-old non-smoking female patient presented with symptoms of dysuria and urination-related pain at TangDu Hospital in April 2022. A biopsy subsequently confirmed the diagnosis of primary urethral LCNEC. Following radical resection, the patient exhibited abnormal lymph node enlargement in the first month and pelvic metastases in the fourth month. Ultimately, the patient succumbed to the disease 486 days after the radical resection, attributed to widespread tumor metastases and concurrent multi-organ failure. The final pathological examination confirmed the presence of a high-grade LCNEC.ConclusionThe occurrence of primary LCNEC in the urethra is exceptionally uncommon. This particular instance was notable for its aggressive progression and unfavorable prognosis. Historically, there have been no prior documented instances of primary pure LCNEC in the urethra. It is imperative to emphasize that early identification and intervention for LCNEC could potentially offer patients a more favorable survival outcome.
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institution Kabale University
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language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
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series Frontiers in Urology
spelling doaj-art-b07d6e4f5bb2471c8c16a01799dd91062025-02-06T07:10:13ZengFrontiers Media S.A.Frontiers in Urology2673-98282025-02-01510.3389/fruro.2025.14405381440538Primary large cell neuroendocrine carcinoma of the urethra: a case reportJianbai Chen0Xiaorong Mou1Zhiming Zhang2Zhiyong Nie3Jianxin Qiu4Air Force Medical University, Xi’an, ChinaDepartment of Pathology, Tangdu Hospital, Xi’an, ChinaDepartment of Urology, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of Urology, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of Urology, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaBackgroundPrimary neuroendocrine carcinoma of the urethra is a very uncommon malignant tumor, and no reports have been made about large cell neuroendocrine carcinoma (LCNEC) in the past.Case descriptionA 43-year-old non-smoking female patient presented with symptoms of dysuria and urination-related pain at TangDu Hospital in April 2022. A biopsy subsequently confirmed the diagnosis of primary urethral LCNEC. Following radical resection, the patient exhibited abnormal lymph node enlargement in the first month and pelvic metastases in the fourth month. Ultimately, the patient succumbed to the disease 486 days after the radical resection, attributed to widespread tumor metastases and concurrent multi-organ failure. The final pathological examination confirmed the presence of a high-grade LCNEC.ConclusionThe occurrence of primary LCNEC in the urethra is exceptionally uncommon. This particular instance was notable for its aggressive progression and unfavorable prognosis. Historically, there have been no prior documented instances of primary pure LCNEC in the urethra. It is imperative to emphasize that early identification and intervention for LCNEC could potentially offer patients a more favorable survival outcome.https://www.frontiersin.org/articles/10.3389/fruro.2025.1440538/fulllarge cell neuroendocrine carcinomaurethra carcinomacase reportprognosisradical cystectomy (RC)
spellingShingle Jianbai Chen
Xiaorong Mou
Zhiming Zhang
Zhiyong Nie
Jianxin Qiu
Primary large cell neuroendocrine carcinoma of the urethra: a case report
Frontiers in Urology
large cell neuroendocrine carcinoma
urethra carcinoma
case report
prognosis
radical cystectomy (RC)
title Primary large cell neuroendocrine carcinoma of the urethra: a case report
title_full Primary large cell neuroendocrine carcinoma of the urethra: a case report
title_fullStr Primary large cell neuroendocrine carcinoma of the urethra: a case report
title_full_unstemmed Primary large cell neuroendocrine carcinoma of the urethra: a case report
title_short Primary large cell neuroendocrine carcinoma of the urethra: a case report
title_sort primary large cell neuroendocrine carcinoma of the urethra a case report
topic large cell neuroendocrine carcinoma
urethra carcinoma
case report
prognosis
radical cystectomy (RC)
url https://www.frontiersin.org/articles/10.3389/fruro.2025.1440538/full
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AT xiaorongmou primarylargecellneuroendocrinecarcinomaoftheurethraacasereport
AT zhimingzhang primarylargecellneuroendocrinecarcinomaoftheurethraacasereport
AT zhiyongnie primarylargecellneuroendocrinecarcinomaoftheurethraacasereport
AT jianxinqiu primarylargecellneuroendocrinecarcinomaoftheurethraacasereport