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Uncommon Presentation of Primary Bladder Signet Ring Cell Carcinoma With Peritoneal Carcinomatosis: A Rare Case Report.

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Case reports in urology 2026 Vol.2026() p. 5584765 OA
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Joumaa JP, Karam KK, Ghaleb J, Ghadieh HE, Korhani A

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Primary signet ring cell carcinoma (SRCC) of the bladder is an exceptionally rare and aggressive malignancy, accounting for only 0.12%-0.6% of all bladder cancers.

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APA Joumaa JP, Karam KK, et al. (2026). Uncommon Presentation of Primary Bladder Signet Ring Cell Carcinoma With Peritoneal Carcinomatosis: A Rare Case Report.. Case reports in urology, 2026, 5584765. https://doi.org/10.1155/criu/5584765
MLA Joumaa JP, et al.. "Uncommon Presentation of Primary Bladder Signet Ring Cell Carcinoma With Peritoneal Carcinomatosis: A Rare Case Report.." Case reports in urology, vol. 2026, 2026, pp. 5584765.
PMID 41640585 ↗

Abstract

Primary signet ring cell carcinoma (SRCC) of the bladder is an exceptionally rare and aggressive malignancy, accounting for only 0.12%-0.6% of all bladder cancers. This case report describes a 54-year-old female who presented with urinary incontinence and abdominal pain, initially misdiagnosed as a urinary tract infection. Imaging revealed suspicious bladder findings, and subsequent cystoscopy with transurethral resection identified SRCC, later confirmed by immunohistochemistry (PD-L1 positive, CDX-2/ER negative). Despite peritoneal carcinomatosis, the patient responded to cisplatin/gemcitabine chemotherapy and immunotherapy, demonstrating tumor shrinkage on follow-up imaging. This case highlights the diagnostic challenges of SRCC due to its nonspecific symptoms and potential histological overlap with other metastatic gastrointestinal tumors. Early recognition and a multidisciplinary approach are critical for improving patient outcomes.

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