Limits...
Urothelial Cancer

Segura COS - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Urothelial Cancer

History: 82 yo man with 2-month history of painless gross hematuria

Findings: - Bilateral extrarenal pelves. - No evidence of obstructing stones or stones in the bladder. - Abnormal layering of contrast material within the posterior aspect of the bladder concerning for clot vs mural mass. - Metastatic disease with spread to bilateral hilar and mediastinal lymph nodes. - Metastatic disease with spread to left lower lung lobe.

Ddx: Bladder Cancer - mainly urothelial (transitional cell) cancer BPH Renal Stones Cystitis

Dxhow: Cytology of bladder washings were consistent with high grade urothelial cancer.

Exam: Normal physical exam. Urinalysis was consistent with gross hematuria, no crystals were visualized, WBC's were within normal limits.

No MeSH data available.


Axial image of non-contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Non-contrast CT performed just 10 days prior was repeated due to the bladder not being fully distended. Enlarged prostate contributed to difficulty of this case because mass effect produced an indentation in the same portion of the bladder wall. Also note atrophy of right abdominal rectus with irregular contour of the left abdominal rectus muscle which the patient first noted after thoracic surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1803&req=5

MPX1803_synpic28581: Axial image of non-contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Non-contrast CT performed just 10 days prior was repeated due to the bladder not being fully distended. Enlarged prostate contributed to difficulty of this case because mass effect produced an indentation in the same portion of the bladder wall. Also note atrophy of right abdominal rectus with irregular contour of the left abdominal rectus muscle which the patient first noted after thoracic surgery.


Urothelial Cancer

Segura COS - MedPix (2006)

Axial image of non-contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Non-contrast CT performed just 10 days prior was repeated due to the bladder not being fully distended. Enlarged prostate contributed to difficulty of this case because mass effect produced an indentation in the same portion of the bladder wall. Also note atrophy of right abdominal rectus with irregular contour of the left abdominal rectus muscle which the patient first noted after thoracic surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1803&req=5

MPX1803_synpic28581: Axial image of non-contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Non-contrast CT performed just 10 days prior was repeated due to the bladder not being fully distended. Enlarged prostate contributed to difficulty of this case because mass effect produced an indentation in the same portion of the bladder wall. Also note atrophy of right abdominal rectus with irregular contour of the left abdominal rectus muscle which the patient first noted after thoracic surgery.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Urothelial Cancer

History: 82 yo man with 2-month history of painless gross hematuria

Findings: - Bilateral extrarenal pelves. - No evidence of obstructing stones or stones in the bladder. - Abnormal layering of contrast material within the posterior aspect of the bladder concerning for clot vs mural mass. - Metastatic disease with spread to bilateral hilar and mediastinal lymph nodes. - Metastatic disease with spread to left lower lung lobe.

Ddx: Bladder Cancer - mainly urothelial (transitional cell) cancer BPH Renal Stones Cystitis

Dxhow: Cytology of bladder washings were consistent with high grade urothelial cancer.

Exam: Normal physical exam. Urinalysis was consistent with gross hematuria, no crystals were visualized, WBC's were within normal limits.

No MeSH data available.