Bladder and bowel cancers
Abdominal pain and haematuria
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Large irregular mildly enhancing fungating tumour of the left posterior urinary bladder wall centred on the left the VUJ. Left-sided hydronephrosis and hydroureter and associated mildly reduced perfusion to the left kidney. Several low-density renal lesions, representing parapelvic and cortical cysts.
Semi-annular wall thickening of the cecum with length of 3.5 cm and wall thickness up to 1.6 cm. No upstream dilatation.
No enlarged lymph node. No metastases identified.
Hypoplastic left liver lobe. Multiple calcified uterine fibroids.
- Left posterior bladder wall mass causing marked left renal collecting system obstruction likely TCC - recommend cystoscopy.
- Dual diagnosis of cecal malignancy which is almost certainly a primary colonic cancer - recommend colonoscopy.
Great example of dual pathologies.