Transitional carcinoma of the bladder

Case contributed by Dr Ian Bickle

Presentation

Retired female with hematuria. CT as part of hematuria work up.

Patient Data

Age: 65 years
Gender: Female

1.7cm irregular filling defect on the posterior aspect of the right side of the urinary bladder (7 o'clock) protruding into the bladder lumen.

This lies immediately lateral to the ureteric orifice but does not cover it.  No extraserosal extension.

No hydronephrosis.

Both kidneys concentrate and excrete normally.  No filling defect in the collecting systems or ureters.

The solid organs of the upper abdomen are unremarkable. 

Case Discussion

Typical appearances on CT of a focal transitional carcinoma (TCC) of the urinary bladder.

Cystoscopy and cystoscopic biopsy confirmed a TCC.

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