Transitional Cell Carcinoma of the Urinary BladderClinical HistoryA 74-year old man presented with painless frank haematuria.Case DescriptionUltrasound revealed a 17 mm hypoechoic mass (carcinoma) in the posterolateral wall of the urinary bladder lateral to the right ureteral orifice. The mass showed some evidence of vascularity within it. The kidneys appear unremarkable.Diagnosis/ Discussion/ Treatment/ Follow upThe patient had a whole body CT to further characterise the mass. CT revealed the lesion in the bladder with no evidence of extravesical involvement.The patient had transurethral resection of the bladder tumour (TURBT). A subsequent histology analysis of the specimen sample confirmed a Grade 3 bladder cancer. No disease recurrence recorded on follow-up evaluations.SonogramsB-Mode ultrasound showing the mass in the posterolateral wallLongitudinal view of the bladder mass in the posterior bladder wallColour Doppler Imaging of the bladder mass showing some internal vascularityCDI showing evidence of right ureteric jets adjacent to the bladder mass. Evidently, no ureteric obstruction caused by the bladder massCDI showing ureteric jets bilaterallyNormal right kidneyNormal left kidneyPublished on: September 25, 2024
