MyPACS.net: Radiology Teaching Files > Case 26982323

previously visited BLADDER MASS
Contributed by: Lisa Oppedisano, Medical Student, Triton College, Illinois, USA.
Patient: 69 year old male
History: A 69 year old male presented with gross hematuria, and frequent urination. 
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Multimedia: 26990982.doc
Fig. 1
Findings: The ultrasound appearance of the bladder in this case is a hyperechoic, heterogeneous mass noted in the posterior aspect of bladder.  The mass demonstrates increased vascularity with color flow.  The patient also has severe bilateral hydronephrosis, most likely caused by obstruction of ureters by the bladder mass.
Diagnosis: The diagnosis of this mass is transitional cell carcinoma (TCC) of the urinary bladder.
Discussion:

    Bladder tumors are more common (3 times more) in men than in women.  They are also more common in caucasian men over the age of 50 years old.  Bladder tumors are the second most common tumor of the reproductive and urinary tract, the most common being a prostate tumor.  Some causes of bladder tumors include exposure to carcinogenic chemicals, icluding chemicals used in the rubber and dye industries, smoking tobacco,chronic urinary tract infections, and schistosomiasis, a parasitic infection.

    Treatment for bladder tumors varies, depending on the location of the tumor. For superficial bladder tumors, treatment includes transurethral resection and intra-vesical pharmacotherapy.  For invasive (deep) bladder tumors, surgical removal of the bladder and urinary diversion if total bladder removal is required.                 

 

 

References:

http://menshealth.about.com/od/diseases/a/bladder_tumors.htm

http://www.urologyinstitute.com/html/bladder_cancer.html

http://emedicine.medscape.com/article/438262-overview

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Additional Details:

Case Number: 26982323Last Updated: 05-05-2009
Anatomy: Genitourinary (GU)   Pathology: Other
Modality: USAccess Level: Readable by all users

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