Most common presenting symptom is hematuria, which is typically intermittent, gross, painless, and present.
- Transitional Cell Carcinoma (95%)
- Squamous Cell Carcinoma (%5) associated with chronic inflammation (parasitic-schistosomiasis)
- Rarely andenocarcinoma, pheochrmocytoma, leiomyoma, lymphoma, sarcoma, metastasis
- Focal bladder wall thickening
- Soft tissue mass (plaquelike, polypoid, papillary)
Extention into pelvic sidewall precludes complete surgical excision Pelvic lymph nodes >1.0 cm short axis