IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Urinary bladder cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Gross hematuria.

Patient Data

Age: 75 years
Gender: Male
ct

Severe left-sided hydroureteronephrosis is present causing left renal parenchymal atrophic changes. 

A 65 × 27 mm enhancing mass is noted at the left posterolateral aspect of the urinary bladder that infiltrates the left UVJ and the distal portion of the left ureter. In addition, a 27×23 mm cystic lesion is present just lateral to the left UVJ.

The prostate gland is enlarged. 

Degenerative changes as osteophytosis are seen at the lumbar spine.

Grade I spondylolisthesis of L5 on S1 is present with bilateral spondylolysis.

Case Discussion

Urinary bladder mass; pathologically proven papillary urothelial carcinoma with involvement of distal portion of the left ureter.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.