Bladder cancer

Most common presenting symptom is hematuria, which is typically intermittent, gross, painless, and present.

Histology

• Transitional Cell Carcinoma (95%)
• Squamous Cell Carcinoma (%5) associated with chronic inflammation (parasitic-schistosomiasis)
• Rarely andenocarcinoma, pheochrmocytoma, leiomyoma, lymphoma, sarcoma, metastasis

Radiographic Appearance

• Focal bladder wall thickening
• Soft tissue mass (plaquelike, polypoid, papillary)

Staging

Extention into pelvic sidewall precludes complete surgical excision Pelvic lymph nodes >1.0 cm short axis

Patient A w/o contrast	Patient A w/ contrast	Patient A delays
Patient B w/o contrast	Patient B delays	Patient B delays