LARGE PAPILLARY CARCINOMA OF URINARY BLADDER
Abstract
A case of large papillary carcinoma (low grade) of urinary bladder was presented. The patient is a prisoner, referring from a nearby prison with a history of chronic gross hematuria, dysuria, more frequent urination and a sense of incomplete emptying of the bladder after urination, so that sometime he had to force out or compress the suprapubic area to increase urination. Multi-modality imagings (retrograde urethrogram, sonogram, CT whole abdomen) were performed and revealed multiple large polypoid masses projected out from bladder wall into the bladder capacity. The presumptive diagnosis was rhabdomyosarcoma or myoma. He was treated by total cystectomy and ileal conduit. The pathologic diagnosis was multiple large papillary carcinoma, low grade, of urinary bladder (greatest diameter of the tumor was 11 cm.)
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