Transitional cell carcinoma of urinary bladder

Case contributed by Dr David Pryde

Presentation

Presented with macrohaematuria.

Patient Data

Gender: Male

Arterially enhancing bladder mass right side -  tiny TCC was invasive!

Modality: Annotated image

Tiny invasive TCC labelled.

Case Discussion

This case demonstrates the importance of scanning the entire urinary tract on three phases with the contrast enhanced phase being arterial (as currently recommended) and not portal venous.

Detecting large lesions is easy but small lesions are best seen when enhancing maximally - makes our interpretation easier and hence benefits the patient.

Cystoscopy is not infallible - see case elsewhere of missed TCC which was shown in a bladder diverticulum.

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Case Information

rID: 39287
Case created: 30th Aug 2015
Last edited: 10th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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