Presentation
Gross hematuria.
Patient Data
Age: 75 years
Gender: Male
From the case:
Urinary bladder cancer
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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.