A 43-year-old African immigrant from Mali was seen and treated at our facility for a recently exacerbated episode of hematuria that had been intermittent and non-remitting for the past 36 years. On cystoscopy the left lateral and anterior wall mucosa were replaced by tumor; a 6 × 6 × 2 cm friable and fungating lesion was visible at the bladder neck. Pathological results showed invasive squamous cell carcinoma of the urinary bladder moderately differentiated involving the base, dome, anterior, posterior, and lateral wall of the urinary bladder. The patient then underwent a radical cystoprostatectomy, pelvic lymph node dissection, and ileal neo-bladder placement following a surgical staging of the disease as involving the prostate. Pathological examination revealed a stage 4 lesion with the involvement of the prostate and distant lymph nodes and pathologic staging as pT3a, pN2, pMX AJCC. The patient died 7 months after presentation following complications of septicemia.
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