Presentation
Presented with macrohaematuria.
Patient Data
Gender: Male
From the case:
Transitional cell carcinoma of urinary bladder
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Arterially enhancing bladder mass right side - tiny TCC was invasive!
From the case:
Transitional cell carcinoma of urinary bladder
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Tiny invasive TCC labeled.
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.