Programmed Death Cell Ligand-1 Expression in Lymphoepithelioma-like
Carcinoma of the Bladder: A Case Report
Abstract
Introduction: Lymphoepithelioma-like carcinoma of the bladder (LELC-B)
is a rare variant of bladder tumors and until today only 145 cases are
reported in the literature. It has a worse prognosis and survival rates
in comparison with papillary muscle invasive tumors. However, general
treatment options including radical cystectomy, chemotherapy and
radiotherapy; discovery of the programmed death cell ligand-1 (PDL-1)
expression for LELC-B recently, may lead a novel immunohistochemical
diagnostic method and PDL-1 immunostaining may increase detection of
this variant. Case Presentation: A 72-year-old male patient with lower
urinary tract symptoms is diagnosed as bladder tumor with imaging
modalities. After transurethral resection of this bladder tumor,
immunopathological diagnose was muscle invasive bladder tumor
predominantly lymphepithelioma like carcinoma of the bladder. PDL-1
immunostaining was also highly positive(>%50).
Discussion/Conclusion: Lymphoepithelioma-like cancer of bladder is an
undifferantiated aggressive rare variant of bladder cancers. Its
identifiability may increase with detection of PDL-1 expression. In the
future, that might pave a road to targeted immunotherapies as an
alternative for selected patients.