T4a transitional carcinoma of the bladder

Case contributed by Dr Ian Bickle

Presentation

Haematuria.

Patient Data

Age: 65 years
Gender: Female

Well defined enhancing 7.5 x 3 cm mass involving the posterior aspect of the urinary bladder extending from the base to the dome. The mass extends beyond the bladder serosa and displaces and invades the anterolateral aspect of the right side of the uterus.

The mass obstructs and extends 2 cm into the distal right ureter with a resultant severe right hydronephrosis. Delayed right sided nephrogram.

Small simple cysts in the liver. The remainder of the upper abdomen is normal.

No para-aortic or pelvic lymphadenopathy.

Case Discussion

This is an example of an advanced case of transitional carcinoma of the bladder with ureteric and uterine invasion. A radiological T-stage of 4a.

PlayAdd to Share

Case information

rID: 60313
Published: 18th May 2018
Last edited: 14th Aug 2019
Tag: ripas2
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.