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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 contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Large filling defect is appreciated, very subtle on the non-contrast CT. Also note atrophy of right abdominal rectus muscle.
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MPX1803_synpic28582: Axial image of contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Large filling defect is appreciated, very subtle on the non-contrast CT. Also note atrophy of right abdominal rectus muscle.


Urothelial Cancer

Segura COS - MedPix (2006)

Axial image of contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Large filling defect is appreciated, very subtle on the non-contrast CT. Also note atrophy of right abdominal rectus muscle.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1803_synpic28582: Axial image of contrast CT shows mural mass on posterior wall of bladder just above the level of the prostate. Large filling defect is appreciated, very subtle on the non-contrast CT. Also note atrophy of right abdominal rectus muscle.

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.