Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 6 ( November-December, 2022 ) > List of Articles

CASE REPORT

An Atypical Presentation of Bladder Carcinoma in a Postmenopausal Woman

Keywords : Bladder carcinoma, Imaging in pelvic mass, Pelvic mass, Transitional cell carcinoma

Citation Information : An Atypical Presentation of Bladder Carcinoma in a Postmenopausal Woman. J South Asian Feder Obs Gynae 2022; 14 (6):741-743.

DOI: 10.5005/jp-journals-10006-2047

License: CC BY-NC 4.0

Published Online: 31-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Transitional cell carcinoma (TCC) or urothelial carcinoma is the most common type of urinary bladder cancer. It roughly accounts for 95% of bladder cancer. It can occur due to cigarette smoking, aniline dye used in paint industry, and agrochemicals. TCC can be papillary, sessile, or carcinoma in situ. These patients most commonly present with hematuria and dysuria. Also, increase in frequency and urgency are also noted. Here, we present a case of high-grade transitional cell carcinoma of bladder which, presented as a pelvic mass with no history of hematuria or dysuria. All the tumor markers were normal and imaging was suspicious, so diagnostic laparoscopy was planned, which ultimately converted to laparotomy due to intraop bleeding. It was subsequently shown to be originated from bladder. This case also indicates the role of good imaging analysis in a pelvic mass despite normal tumor marker, and it subsequently helps in the planning of the management.


PDF Share
  1. Guideline for the management of non-muscle invasive bladder cancer: (stages Ta, T1 and Tis). 2007 update. AUA guidelines. 2014. Available from: https://www.auanet.org/education/guidelines/bladder-cancer.cfm.
  2. Collado A, Chechile GE, Salvador J, et al. Early complications of endoscopic treatment for superficial bladder tumors. J Urol 2000;164(5):1529–1532. PMID: 11025697.
  3. Golan S, Baniel J, Lask D, et al. Transurethral resection of bladder tumour complicated by perforation requiring open surgical repair—clinical characteristics and oncological outcomes. BJU Int 2011;107(7):1065–1068. DOI: 10.1111/j.1464-410X.2010.09696.x.
  4. Kim JH, Yang WJ. Delayed spontaneous perforation of urinary bladder with intraperitoneal seeding following radical transurethral resection of invasive urothelial cancer: a case report. BMC Res Notes 2014;7:167–169. DOI: 10.1186/1756-0500-7-167.
  5. Kang GR, Sohn DW, Chung DJ. A case of extravesical metastases occurring after transurethral resection of non-invasive bladder cancer. J Korean Soc Radiol 2018;78(2):141–145. DOI: 10.3348/jksr.2018.78.2.141.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.