Bladder
Other tumors
Carcinoid / well differentiated neuroendocrine tumor

Author: Turki Al-Hussain, M.D. (see Authors page)

Revised: 10 August 2016, last major update December 2014

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed Search: Bladder carcinoid tumor
Cite this page: Carcinoid / well differentiated neuroendocrine tumor. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/bladdercarcinoid.html. Accessed December 4th, 2016.
Definition / General
  • Rare low grade neuroendocrine carcinoma, similar to counterparts at other sites
Epidemiology
  • Usually ages 47-69 years
Sites
  • Bladder neck and trigone
Etiology
Clinical Features
  • Rare, < 50 cases described
  • Patients present with hematuria
  • No carcinoid syndrome
  • Behavior is difficult to predict (Arch Pathol Lab Med 2006;130:1693); occasionally produces metastases and death
Case Reports
Treatment
  • Excision is usually curative, but behavior may not be predictable
Gross Description
  • Usually 1-2 cm
  • Smooth-surfaced sessile polypoid nodules covered by urothelium
Micro Description
Micro Images

Images hosted on other servers:
Missing Image

Various images

Positive Stains
Electron Microscopy Description
  • Neuroendocrine differentiation
Differential Diagnosis
  • Inverted papilloma: lacks salt and pepper chromatin of carcinoid tumors; not invasive
  • Metastasis: clinical history
  • Nested variant of urothelial carcinoma: classic urothelial carcinoma usually present elsewhere; usually no well defined neuroendocrine features
  • Paraganglioma: nests of tumor cells surrounded by S100+ sustentacular cells
  • Direct invasion of carcinoid tumor from appendix: clinical history