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Updated on November 26, 2024

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 (carcinoma) in the posterolateral wall
B-Mode ultrasound showing the mass in the posterolateral wall
Longitudinal view of the bladder mass in the posterior bladder wall
Longitudinal view of the bladder mass in the posterior bladder wall
Colour Doppler Imaging of the bladder mass showing some internal vascularity
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 evidence of right ureteric jets adjacent to the bladder mass. Evidently, no ureteric obstruction caused by the bladder mass
CDI showing ureteric jets bilaterally
CDI showing ureteric jets bilaterally
Normal right kidney
Normal right kidney
Normal left kidney
Normal left kidney


Published on: September 25, 2024

Author

Sonohive

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Transitional Cell Carcinoma of the Urinary Bladder

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