Bladder and bowel cancers

Case contributed by Dr Craig Hacking

Presentation

Abdominal pain and haematuria

Patient Data

Age: 80
Gender: Female
Modality: CT

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.

Conclusion

  1. Left posterior bladder wall mass causing marked left renal collecting system obstruction likely TCC - recommend cystoscopy.
  2. Dual diagnosis of cecal malignancy which is almost certainly a primary colonic cancer - recommend colonoscopy.

Case Discussion

Great example of dual pathologies.

PlayAdd to Share

Case Information

rID: 37688
Case created: 18th Jun 2015
Last edited: 30th Aug 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.