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Urethral Cancer, Transitional Cell Carcinoma, T2N0M0

Sunkin JAS - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Urethral Cancer, Transitional Cell Carcinoma, T2N0M0

History: This is a 94 year old man with a non contributory past medical history that presented to the Urology clinic with 3 months of urinary incontinence and urgency, as well as a sense of obstruction.

Findings: On these T1 weighted post gad MRI images an irregular mass of approx 5cm x 1.5 cm is visible within the corpus spongiosum. The mass appears of intermediate signal intensity and is heterogeneous in composition. There is no definitive invasion into the corpora cavernosa but the mass has indistinct margins and is poorly circumscribed. No lymphadenopathy is seen.

Ddx: Urethral Cancer (Squamous vs Transitional vs. AdenoCA) Benign Stricture Disease Benign Prostatic Hypertrophy Urinary Tract Infection

Dxhow: Transitional Cell Carcinoma was confirmed with biopsy taken at Cystoscopy

Exam: On exam the patient was found to have a palpable mass within the penis of approx 5cm x 1cm within the glans and shaft of the penis. The prostate was smooth and uniformed enlarged without nodules. Urinalysis and Urine Culture was negative, and cystoscopy revealed an abnormal and irregular stricture within the distal urethra.

No MeSH data available.


This is an image better showing the irregular borders of the mass as it has expanded with the glans of the penis.  The heterogeneous nature of the mass is again appreciated.
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MPX2247_synpic29142: This is an image better showing the irregular borders of the mass as it has expanded with the glans of the penis. The heterogeneous nature of the mass is again appreciated.


Urethral Cancer, Transitional Cell Carcinoma, T2N0M0

Sunkin JAS - MedPix (2006)

This is an image better showing the irregular borders of the mass as it has expanded with the glans of the penis.  The heterogeneous nature of the mass is again appreciated.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2247&req=5

MPX2247_synpic29142: This is an image better showing the irregular borders of the mass as it has expanded with the glans of the penis. The heterogeneous nature of the mass is again appreciated.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Urethral Cancer, Transitional Cell Carcinoma, T2N0M0

History: This is a 94 year old man with a non contributory past medical history that presented to the Urology clinic with 3 months of urinary incontinence and urgency, as well as a sense of obstruction.

Findings: On these T1 weighted post gad MRI images an irregular mass of approx 5cm x 1.5 cm is visible within the corpus spongiosum. The mass appears of intermediate signal intensity and is heterogeneous in composition. There is no definitive invasion into the corpora cavernosa but the mass has indistinct margins and is poorly circumscribed. No lymphadenopathy is seen.

Ddx: Urethral Cancer (Squamous vs Transitional vs. AdenoCA) Benign Stricture Disease Benign Prostatic Hypertrophy Urinary Tract Infection

Dxhow: Transitional Cell Carcinoma was confirmed with biopsy taken at Cystoscopy

Exam: On exam the patient was found to have a palpable mass within the penis of approx 5cm x 1cm within the glans and shaft of the penis. The prostate was smooth and uniformed enlarged without nodules. Urinalysis and Urine Culture was negative, and cystoscopy revealed an abnormal and irregular stricture within the distal urethra.

No MeSH data available.