Journal of South Asian Federation of Obstetrics and Gynaecology

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


An Atypical Presentation of Bladder Carcinoma in a Postmenopausal Woman

Agniv Sarkar, Manoranjan Mahapatra, Jita Parija, Smruthisudha Pattnaik

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

Citation Information : Sarkar A, Mahapatra M, Parija J, Pattnaik S. 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).


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.

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