Transitional cell carcinoma of the bladder

Case contributed by Abdel-Rahman Abdel-Halim
Diagnosis almost certain

Presentation

Hematuria and burning sensation with micturition.

Patient Data

Age: 60 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Mural thickening with endophytic mass along the anterior wall of the urinary bladder. It has a nodular inner margin and measures about 3.0 x 5.5 cm in its maximum axial diameters.

No CT evidence of exophytic components or local invasion of the nearby organs.

Annotated image

Mural thickening with endophytic mass (arrows) along the anterior wall of the urinary bladder.

Case Discussion

Bladder cancer typically occurs in men aged 50–70 years. Most (around 90%) of bladder cancers are transitional cell carcinoma (TCC).

Squamous cell carcinoma (SCC) represents about 10% of bladder carcinomas and is strongly related to chronic infection, particularly Schistosomiasis.

In this case, cystoscopy was recommended and biopsy revealed low-grade TCC.

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