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Transitional cell carcinoma - urinary bladder

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Hematuria and right flank pain.

Patient Data

Age: 80 years
Gender: Female
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Lower abdomen

ct

Mass in the right posterolateral bladder wall protruding into the bladder with consequent right ureterovesical junction obstruction. The mass shows intense enhancement following contrast. There is no obvious extravesical extension.

Upper abdomen

ct

Respectively: arterial phase, portal venous phase, equilibrium phase and excretory phase late. There is moderate right nephrohydroureter with consequent important delay in renal enhancement and no excretion.

Case Discussion

Female patient with a history of hematuria and right flank pain.

The patient attended for cancer staging. The TCC of the bladder was previously confirmed histologically. 

There is no obvious extravesical extension, only the bladder mass and right nephrohydroureter. 

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