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Novel use of Carboplatin, Etoposide and Durvalumab as Neoadjuvant Therapy in Treatment of Small Cell Bladder Cancer
Journal article   Open access   Peer reviewed

Novel use of Carboplatin, Etoposide and Durvalumab as Neoadjuvant Therapy in Treatment of Small Cell Bladder Cancer

Victoria E. Gonzalez, Edward Linton, Timothy Boyce, Laila Dahmoush and Helen Y. Hougen
Urology case reports, Vol.62, 103165
09/2025
DOI: 10.1016/j.eucr.2025.103165
PMCID: PMC12395055
PMID: 40894098
url
https://doi.org/10.1016/j.eucr.2025.103165View
Published (Version of record) Open Access

Abstract

Small cell carcinoma of the bladder (SCCB) is a rare and aggressive variant of bladder cancer requiring multimodal treatment. We present a case of an 82-year-old male with SCCB with bulky pelvic adenopathy treated with a novel neoadjuvant combination of carboplatin, etoposide, and durvalumab with complete response of the small cell component. We also describe a rare complication of retinopathy resulting from this treatment. This study presents the potential efficacy and promise of adding immunotherapy to neoadjuvant chemotherapy for SCCB to achieve a long-term cure. •Checkpoint inhibitors as neoadjuvant therapy for small cell bladder cancer (SCCB)•Complete pathologic response in SCCB to durvalumab, cisplatin, and etoposide•Complication of retinopathy from neoadjuvant carboplatin, etoposide, durvalumab
immune checkpoint inhibitor retinopathy small cell carcinoma Urinary bladder neoplasms

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