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Primary calcified T-cell lymphoma of the urinary bladder: a case report.

Choi JH, Jeong YY, Shin SS, Lim HS, Kang HK - Korean J Radiol (2003 Oct-Dec)

Bottom Line: Primary malignant lymphoma of the urinary bladder is extremely rare, and to our knowledge, no case described in the radiologic literature has been accompanied by calcification.We report a case in which the condition was associated with calcification, and describe the pelvic CT and MR imaging findings.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Chonnam National University Medical School, Gwangju, Korea.

ABSTRACT
Primary malignant lymphoma of the urinary bladder is extremely rare, and to our knowledge, no case described in the radiologic literature has been accompanied by calcification. We report a case in which the condition was associated with calcification, and describe the pelvic CT and MR imaging findings.

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A 30-year-old woman with primary lymphoma of the urinary bladder.
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Figure 1: A 30-year-old woman with primary lymphoma of the urinary bladder.

Mentions: A 30-year-old woman presented with a two-month history of gross hematuria and dysuria. The urine analysis results were 250/ul of RBC and 500/ul of WBC and the serum albumin level was 2.3 g/dl. Intravenous urography revealed a lobulated filling defect and irregular amorphous calcification in the left lateral wall of the urinary bladder, while ultrasonography demonstrated asymmetric hypoechoic diffuse thickening of bladder wall with acoustic shadowing in the left lateral wall suggesting calcification (Fig. 1A). Pelvic CT depicted eccentric lateral wall thickening with calcification and heterogeneous enhancement (Figs. 1B, C). T1-weighted MR image depicted low-signal-intensity eccentric lateral wall thickening, and T2-weighted MR image demonstrated heterogeneous high signal intensity (Figs. 1D, E). There was no evidence of pelvic lymph node involvement. There was a small amount of ascites, but this was probably due to hypoalbuminemia. Their radiologic findings, including those of chest radiography and abdominal CT, indicated no lymph node enlargement or hepatosplenomegaly. Cystoscopy revealed diffuse hyperemic edematous mucosal change, calcification, and mucosal ulceration of the left lateral wall. Ultrasonography-guided biopsy was performed, and histologic examination revealed high-grade peripheral T-cell lymphoma accompanied by focal necrosis (Fig. 1F). Two weeks later, prior to any appropriate treatment, the patient died.


Primary calcified T-cell lymphoma of the urinary bladder: a case report.

Choi JH, Jeong YY, Shin SS, Lim HS, Kang HK - Korean J Radiol (2003 Oct-Dec)

A 30-year-old woman with primary lymphoma of the urinary bladder.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698104&req=5

Figure 1: A 30-year-old woman with primary lymphoma of the urinary bladder.
Mentions: A 30-year-old woman presented with a two-month history of gross hematuria and dysuria. The urine analysis results were 250/ul of RBC and 500/ul of WBC and the serum albumin level was 2.3 g/dl. Intravenous urography revealed a lobulated filling defect and irregular amorphous calcification in the left lateral wall of the urinary bladder, while ultrasonography demonstrated asymmetric hypoechoic diffuse thickening of bladder wall with acoustic shadowing in the left lateral wall suggesting calcification (Fig. 1A). Pelvic CT depicted eccentric lateral wall thickening with calcification and heterogeneous enhancement (Figs. 1B, C). T1-weighted MR image depicted low-signal-intensity eccentric lateral wall thickening, and T2-weighted MR image demonstrated heterogeneous high signal intensity (Figs. 1D, E). There was no evidence of pelvic lymph node involvement. There was a small amount of ascites, but this was probably due to hypoalbuminemia. Their radiologic findings, including those of chest radiography and abdominal CT, indicated no lymph node enlargement or hepatosplenomegaly. Cystoscopy revealed diffuse hyperemic edematous mucosal change, calcification, and mucosal ulceration of the left lateral wall. Ultrasonography-guided biopsy was performed, and histologic examination revealed high-grade peripheral T-cell lymphoma accompanied by focal necrosis (Fig. 1F). Two weeks later, prior to any appropriate treatment, the patient died.

Bottom Line: Primary malignant lymphoma of the urinary bladder is extremely rare, and to our knowledge, no case described in the radiologic literature has been accompanied by calcification.We report a case in which the condition was associated with calcification, and describe the pelvic CT and MR imaging findings.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Chonnam National University Medical School, Gwangju, Korea.

ABSTRACT
Primary malignant lymphoma of the urinary bladder is extremely rare, and to our knowledge, no case described in the radiologic literature has been accompanied by calcification. We report a case in which the condition was associated with calcification, and describe the pelvic CT and MR imaging findings.

Show MeSH
Related in: MedlinePlus