Urinary bladder tumor

Case contributed by Olumuyiwa Ifedayo Ajayi
Diagnosis certain

Presentation

Frank hematuria

Patient Data

Age: 55 years
Gender: Female
mri

Large polypoid mass at the bladder base with signs of transmural infiltration and obstruction of left ureteral meatus, causing left hydroureter. Perivesical fat infiltration with multiple enlarged pelvic lymph nodes are noted.

The lower uterine segment/cervix is free.

Case Discussion

Bladder neoplasms are known to arise from any of the bladder layers, hence broadly classified as either epithelial or nonepithelial. Urothelial tumors exhibit a spectrum of neoplasia ranging from a benign papilloma through carcinoma in situ to invasive carcinoma.

Transitional cell carcinoma is the most common primary neoplasm of the urinary bladder.

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