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September 10, 2025CureusOpen Access

Silent but Invasive: A Case Report of a Sarcomatoid Bladder Carcinoma in a 29-Year-Old Male Presenting As Vesico-Cutaneous Fistula Without Hematuria

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The patient showed a unique presentation of bladder cancer with a vesicocutaneous fistula.
Histopathology confirmed the diagnosis of poorly differentiated sarcomatoid urothelial carcinoma.
Investigations including PET-CT revealed a large local bladder mass infiltrating adjacent tissues.
Radical surgery and reconstruction are critical for disease control in complex bladder cancer cases.

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This case report reveals vesicocutaneous fistula and highlights bladder cancer in young patients.

Agarwal et al. (2025) studied this question.

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