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Transitional cell carcinoma (T2 low grade papillary urothelial carcinoma)

Marshall MTM - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Transitional cell carcinoma (T2 low grade papillary urothelial carcinoma)

History: 70 year old male with history of high grade T1 papillary urothelial carcinoma in 2008 currently undergoing BCG therapy now with new onset gross hematuria and right sided flank pain. Denies fevers, chills, dysuria or other GU symptoms.

Findings: Bilateral nephrolithiasis with a stone in the proximal right ureter causing obstruction of the right collecting system. Surrounding enhancing soft tissue density around this stone suggestive of an adjacent mass suspicious for an upper tract lesion.

Ddx: Neoplasm Obstructing stone Infected stone UTI

Dxhow: Biopsy performed during cystoscopy and pathology of resected specimen

Exam: PE unremarkable. CBC: 8.7>14.4/42.3<223 BMP: 146/4.5/111/28/24/0.8<91 UA: 10 RBC, >100 WBC, Nitrites negative

No MeSH data available.


Enhancing lesion noted within the right proximal ureter suspicious for neoplasm
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MPX1203_synpic52414: Enhancing lesion noted within the right proximal ureter suspicious for neoplasm


Transitional cell carcinoma (T2 low grade papillary urothelial carcinoma)

Marshall MTM - MedPix (2010)

Enhancing lesion noted within the right proximal ureter suspicious for neoplasm
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1203&req=5

MPX1203_synpic52414: Enhancing lesion noted within the right proximal ureter suspicious for neoplasm

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Transitional cell carcinoma (T2 low grade papillary urothelial carcinoma)

History: 70 year old male with history of high grade T1 papillary urothelial carcinoma in 2008 currently undergoing BCG therapy now with new onset gross hematuria and right sided flank pain. Denies fevers, chills, dysuria or other GU symptoms.

Findings: Bilateral nephrolithiasis with a stone in the proximal right ureter causing obstruction of the right collecting system. Surrounding enhancing soft tissue density around this stone suggestive of an adjacent mass suspicious for an upper tract lesion.

Ddx: Neoplasm Obstructing stone Infected stone UTI

Dxhow: Biopsy performed during cystoscopy and pathology of resected specimen

Exam: PE unremarkable. CBC: 8.7>14.4/42.3<223 BMP: 146/4.5/111/28/24/0.8<91 UA: 10 RBC, >100 WBC, Nitrites negative

No MeSH data available.