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Bladder carcinoma is the seventh most common malignancy worldwide and multiple risk factors have been linked to bladder cancer. Urothelial carcinoma accounts for the most common histological subtype and has a propensity for divergent differentiation. The clinical outcome of some of the variants differs from the typical urothelial carcinoma and recognition of these variants is pertinent. Primary small cell carcinoma is an extremely rare malignant neoplasm which accounts for less than 1% of urinary bladder cancer. We present two cases of bladder carcinoma in elderly men with varied histomorphological subtypes which posed a diagnostic challenge.

A varied morphological spectrum of urinary bladder carcinoma - A rare diagnostic entity