Squamous cell carcinoma of urinary bladder

Case contributed by Dr Ahmed Abd Rabou

Presentation

Hematuria and dysuria of two months duration. The patient had bilharziasis a long time ago.

Patient Data

Age: 50 years old
Gender: Male
Modality: CT

Polypoidal irregular mural thickening of the left lateral and posterior wall of the urinary bladder which coalesce to form large fungating mass arising from left lateral wall are seen and extends through the wall to invade the perivesical fat. It infiltrates also the lower ureteric orifices resulting in bilateral hydronephrosis. Few bilateral internal iliac lymph nodes are noted. Prostatic hypertrophy and Foley catheter are also seen.

Diagnosis: Squamous cell carcinoma of the urinary bladder on top of bilharziasis (histopathology proved)

Case Discussion

Squamous cell carcinoma of the urinary bladder occurs after metaplasia of the urinary bladder epithelium from transitional cell to squamous cell. It can occurs in settings of schistosomaisis, chronic irritation by stones, and chronic infection. 

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Case Information

rID: 25741
Case created: 5th Nov 2013
Last edited: 6th Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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