| Urinary bladder T.C.C |
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| Thursday, 26 August 2010 10:18 |
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History (HX): A 45 year old man ,Hematuria. Findings: Lobulated border urinary bladder floor mass predominantly at right sided along with numerous tiny perivesical lymph nodes Diagnostic (DX): Urinary bladder T.C.C Discussion : Bladder cancer is the few most common malignancy in mea is predominantly a disease of older men in the sixth and seventh decades of life. Cigarette smoke is a common causative factor, as well as urban living and certain occupation. The most common clinical presentation is painless hematuria that ultimately results in urinalysis, cystoscopy and biopsy, histologically, the majority of bladder cancers are transitional cell carcinomas, but a small precentary are sqaumous cell carcinomas, adenocarcinomas, and other much less common entities. Most bladder malignancies are through to be secondary to chronic bladder irritation (e.g chronic stone, occupational toxins) or infection. On CT bladder lesions are seen either as enhancing masses in a background of hypodense urine or as filling defects in a background of the contrast-opacified bladder, often in the trigone and posterolateral wall.
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