Transitional Cell Carcinoma of the Urinary Bladder Clinical History A 74-year old man presented with painless frank haematuria. Case Description Ultrasound 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 up The 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. Sonograms B-Mode ultrasound showing the mass in the posterolateral wall Longitudinal view of the bladder mass in the posterior bladder wall Colour Doppler Imaging of the bladder mass showing some internal vascularity CDI showing evidence of right ureteric jets adjacent to the bladder mass. Evidently, no ureteric obstruction caused by the bladder mass CDI showing ureteric jets bilaterally Normal right kidney Normal left kidney Published on: September 25, 2024
