scholarly journals A Case of Early Stage Bladder Carcinosarcoma in Late Recurrence of Urothelial Carcinoma after Transurethral Resection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Daisaku Hirano ◽  
Toshiyuki Yoshida ◽  
Daigo Funakoshi ◽  
Fuminori Sakurai ◽  
Shou Ohno ◽  
...  
Keyword(s):  
Urothelial Carcinoma ◽  
Transurethral Resection ◽  
Early Stage ◽  
Bladder Wall ◽  
Late Recurrence ◽  
Gross Hematuria ◽  
Pelvic Mri ◽  
History Of ◽  
The Right ◽  
Immunohistochemical Studies

Carcinosarcomas of the urinary bladder are rare biphasic neoplasms, consisting of both malignant epithelial and malignant mesenchymal components, and the prognosis of this tumor is unfavorable in most patients with even possibility of resection of disease. A 77-year-old male with a history of transurethral resection (TUR) of urothelial carcinoma (UC) of the bladder and adjuvant intravesical chemotherapy with pirarubicin 10 years ago revisited our department with a gross hematuria. Cystoscopy demonstrated an approximately 2.5 cm nonpapillary tumor on the right wall of the bladder. Pelvic MRI showed the tumor without extending the base of the bladder wall. The tumor could be completely removed with TUR. The malignant epithelial elements consisted of high-grade UC and the majority of mesenchymal components were fibrosarcomatous differentiation based on immunohistochemical studies. The tumor could be pathologically also suspected to be an early stage on TUR specimens. Although he has received no additional intervention due to the occurrence of myocardial infarction at three weeks after the TUR, he has been alive with no evidence of recurrence of the disease 27 months after the TUR. Some early stages of bladder carcinosarcoma might have a favorable prognosis without aggressive treatments.

scholarly journals Actinomycosis of the urinary bladder

2013 ◽  
Vol 7 (7-8) ◽  
pp. 502 ◽  
Author(s):  
Chun Huang ◽  
Turki Al-Essawi
Keyword(s):  
Urinary Bladder ◽  
Bladder Wall ◽  
Smoking History ◽  
Gross Hematuria ◽  
Inflammatory Mass ◽  
Gram Positive Bacteria ◽  
Ultrasound Computed Tomography ◽  
Actinomyces Species ◽  
History Of ◽  
The Right

Actinomycosis of the urinary bladder is a rare anaerobic bacterial infection caused by Actinomyces isrealii. Initial diagnosis is often difficult and this disease is easily misdiagnosed as a urothelial or urachal tumour. The definitive diagnosis is usually made postoperatively via tissue pathology. We discuss a case of a 54-year-old male with a smoking history and a 2.5-week history of gross hematuria. Ultrasound, computed tomography and cystoscopy revealed a large inflammatory mass adherent to the right, anterior bladder wall, suggesting malignancy. Transurethral resection and histological pathology subsequently confirmed inflammatory urothelium and gram-positive bacteria consistent with actinomyces species.

scholarly journals Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant

2013 ◽  
Vol 3 (2) ◽  
pp. 159 ◽  
Author(s):  
Michael L. Pianezza ◽  
Eric P. Estey
Keyword(s):  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Renal Tissue ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
The Right ◽  
Laparoscopic Removal ◽  
Pelvic Cyst ◽  
Surgical Option ◽  
Lower Urinary

We report a case of a 41-year-old man with a solitary functioningleft kidney and history of chronic pelvic discomfort associatedwith lower urinary tract symptoms. Imaging revealed a largecystic structure in the pelvis attached to a dilated tortuous ureteron the right with congenital absence of the right kidney. The patientunderwent laparoscopic removal of the pelvic cyst and dilatedright ureter. Pathological assessment revealed mesonephric remnantsrepresenting dysplastic renal tissue attached to a dilated andobstructed megaureter, extending into the bladder wall and forminga large pelvic cyst. The patient’s symptoms resolved. A laparoscopicapproach represents an excellent surgical option for pelvicpathology.Nous décrivons le cas d’un homme de 41 ans porteur d’un seulrein fonctionnel (gauche) et ayant des antécédents de douleurspelviennes chroniques liées à des symptômes affectant les voiesurinaires inférieures. Les épreuves d’imagerie ont révélé une massekystique volumineuse au niveau du pelvis, une dilatation et unesinuosité urétérales du côté droit et l’absence congénitale derein droit. Le patient a subi une ablation par laparoscopie du kystepelvien et de la section dilatée de l’uretère droit. L’évaluationpathologique a révélé des vestiges mésonéphriques constituésde tissu rénal dysplasique lié à un méga-uretère obstrué avec dilatationkystique se prolongeant dans la paroi vésicale et formant ainsiun kyste pelvien volumineux. Les symptômes du patient ont disparu.Une approche laparoscopique représente une excellenteoption chirurgicale en présence de pathologie pelvienne.

scholarly journals Metastasis of breast cancer to bladder

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Asma Hadhri ◽  
Rim Abidi ◽  
Najet Mahjoub ◽  
Alia Mousli ◽  
Khalil Mahjoubi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lobular Carcinoma ◽  
Bladder Wall ◽  
Hormonal Treatment ◽  
Left Breast ◽  
Case Presentation ◽  
History Of ◽  
Bladder Metastasis ◽  
One Year ◽  
Immunohistochemical Studies

Abstract Background Breast cancer is the leading cause of cancer death in women, and most breast cancer related deaths are due to metastasis. Urinary bladder metastasis from breast cancer is rarely reported in the literature. Case presentation We report a case of a 77-year-old female with history of left breast cancer, who presented a thickening of the bladder wall at pelvic ultrasound. Biopsy confirmed that the origin was lobular carcinoma of breast origin. The patient received chemotherapy, but the clinical course of the patient was very aggressive and she died one year later. Conclusion Bladder metastasis from breast cancer is rare, but the literature reveals an increase in such occurrence over the last few years. Pathologic diagnosis relies on immunohistochemical studies. Chemotherapy and hormonal treatment represent the standard therapy, with radiotherapy being used only to control bladder bleeding. The prognosis is usually poor.

Crouching carcinoma, hidden ureter: A blind ending burnt out cancerous moiety

2021 ◽  
pp. 205141582110564
Author(s):  
Benjamin Storey ◽  
Vaisnavi Thirugnanasundralingam ◽  
Avi Raman
Keyword(s):  
Urothelial Carcinoma ◽  
Bladder Tumour ◽  
Distal Portion ◽  
Upper Tract Urothelial Carcinoma ◽  
Level Of Evidence ◽  
Tissue Mass ◽  
Duplex Kidney ◽  
Pelvic Mri ◽  
Upper Tract ◽  
The Right

Background: A 76-year-old male presenting with macroscopic haematuria was found to have a lobulated mass infiltrating along the urothelium at the site of insertion of the upper moiety of a complete duplex right kidney. Suspected of being upper tract urothelial carcinoma, cystoscopy, bilateral retrograde pyelograms and transurethral resection of bladder tumour were attempted. Intra-operative findings revealed no tumour burden in the bladder or left ureter. The insertion of the upper pole moiety of the right ureter was not identified intra-operatively. Pelvic MRI demonstrated a markedly dilated upper pole moiety of the right ureter with a soft tissue mass in its distal aspect. Interestingly, the distal portion of the ectopic upper pole moiety was found to insert into the bladder neck. Objective and Methods: We report on an unusual case of upper tract urothelial carcinoma arising from the upper moiety of a complete duplex kidney. Our aim was to demonstrate the importance of thorough investigation of suspected urothelial carcinomas occurring in association with variant upper tract anatomy. Results and Conclusion: This case demonstrates the importance of thorough radiological and endourological investigation of suspected upper tract urothelial carcinoma and the various congenital abnormalities that may complicate the surgical management of this common malignancy. Level of evidence: 4 (case report)

scholarly journals Urothelial Carcinoma in a 22-Year-Old Female with Angelman Syndrome

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Jessica Pugh ◽  
R. Keith Huffaker
Keyword(s):  
Abdominal Pain ◽  
Urothelial Carcinoma ◽  
Angelman Syndrome ◽  
White Female ◽  
Genetic Mutations ◽  
Low Grade ◽  
Gross Hematuria ◽  
Delay In Diagnosis ◽  
History Of

A 22-year-old nulligravid white female with Angelman syndrome was noted to have a 4-month history of premenstrual nausea, vomiting, and abdominal pain. She had an echogenic focus in her bladder noted on ultrasound. She was diagnosed with low grade urothelial carcinoma after cystoscopic evaluation with biopsy and was sent to urology for further treatment. Urothelial carcinoma is rare in individuals younger than age 40. Patients may present with gross hematuria. There is often a delay in diagnosis in younger individuals with different genetic mutations noted upon diagnosis.

Case 8.7

2014 ◽  
pp. 384-385
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Bladder Wall ◽  
Anterior Wall ◽  
Gross Hematuria ◽  
Weighted Image ◽  
The Right

52-year-old man with an episode of gross hematuria Coronal fat-suppressed FSE T2-weighted image (Figure 8.7.1) demonstrates moderate thickening of the right lateral and inferior bladder wall. Axial postgadolinium 2D SPGR images (Figure 8.7.2) again show thickening and mild enhancement of the right bladder wall, as well as focal thickening and enhancement of the anterior wall....

scholarly journals Explosive Cosmogony and the Quasi-Steady State Cosmology

1999 ◽  
Vol 183 ◽  
pp. 286-289 ◽  
Author(s):  
G. Burbidge
Keyword(s):  
Chemical Elements ◽  
Early Stage ◽  
Black Body ◽  
Big Bang ◽  
Body Form ◽  
Protons And Neutrons ◽  
History Of ◽  
The Right ◽  
The Universe ◽  
Distance Relation

Modern cosmology began with the realization that there were solutions to Einstein's theory of gravity discovered by Friedmann and Lemaitre which when combined with the redshift distance relation of Hubble and others could be interpreted as showing that we live in an expanding universe. By 1930, the scientific establishment and many of the lay public believed this. It was then only elementary logic to argue that if time reversal was applied, the universe must originally have been so compact that we could talk of a beginning. Lemaitre tried to describe this state as the “Primeval Atom.” For a decade or so after the war, Gamow, Alpher and Herman and other leading physicists explored this dense configuration trying to make the chemical elements from protons and neutrons. They soon learned that this was not possible because of the absence of stable masses of five and eight, but they also realized that if such an early stage had occurred the universe would contain an expanding cloud of radiation which would preserve its black body form. Dicke and his colleagues in Princeton rediscovered this idea and decided to try and detect the radiation. Penzias and Wilson found such a radiation field, and COBE has demonstrated that it has a perfect black body form out to radio wavelengths. This history of the discovery together with the fact that the light elements D, He3 and He4 in about the right amounts can be made in a hot big bang has led to the widely held, but simplistic view, that the standard cosmology - the hot big bang - is correct.

scholarly journals Rare Presentation of Gall Bladder Adenomyomatosis

2021 ◽  
pp. 510-512
Author(s):  
M. Ishwarya ◽  
R. Anantharamakrishnan ◽  
K. Senthil Kumar ◽  
K. Pranay
Keyword(s):  
Gall Bladder ◽  
Bladder Wall ◽  
Young Male ◽  
Complete Disappearance ◽  
Rare Presentation ◽  
Contrast Enhanced ◽  
Gall Bladder Wall ◽  
History Of ◽  
The Right ◽  
Enhanced Computed Tomography

Introduction: Adenomyomatosis is a benign alterations of gall bladder wall that can be found in 9% of patients. We present a case of gall bladder adenomyomatosis of young male presented with right upper quadrant pain. Case Report: A 22 year old male admitted with a history of pain over right upper quadrant for 8 months. The patient’s physical examination revealed tenderness over the right hypochondrium region. Contrast enhanced computed tomography showed - gall bladder wall appeared diffusely thickened with multiple small cystic areas noted. Conclusion: Symptomatic gall bladder adenomyomatosis is an indicator for cholecystectomy, which results in complete disappearance of symptoms. Asymptomatic cases are not an indication for surgery, but the radiological diagnosis must be beyond any doubt. If there is a any diagnostic doubt about the possibility of gall bladder cancer, a cholecystectomy is justified.

Endoscopic Laser Ablation of Ureteral Endometriosis

2009 ◽  
Vol 1 (2) ◽  
pp. 107-109
Author(s):  
Schima Djalali ◽  
Melanie Peter ◽  
Fritz Wieser ◽  
Dieter Jocham ◽  
Klaus Diedrich ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Renal Impairment ◽  
Ureteral Obstruction ◽  
Bladder Wall ◽  
Abdominal Hysterectomy ◽  
Endometriotic Lesion ◽  
Retrograde Pyelography ◽  
Endoscopic Laser ◽  
History Of ◽  
The Right

A 37-year-old female with a known history of endometriosis presented with progressive dysmenorrhea and dyspareunia, and complaints of hematuria. After cystoscopy and bilateral retrograde pyelography was performed, distal stenosis in the right ureter without ureteral obstruction and renal impairment was diagnosed. Abdominal hysterectomy and excision of peritoneal endometriotic lesions on the surface of the right ureter and bladder wall was done preserving the ovaries. The intrinsic endometriotic lesion in the right ureter was detected ureteroscopically and histologically and treated successfully by holmium laser ablation avoiding ureteral resection and re-implantation.

scholarly journals Rare late metastasis of testis seminoma to the bladder

2015 ◽  
Vol 9 (11-12) ◽  
pp. 823
Author(s):  
Ali Rıza Türkoğlu ◽  
Soner Coban ◽  
Muhammet Guzelsoy ◽  
Murat Demirbas ◽  
Nazmi Mutlu ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Bladder Wall ◽  
First Year ◽  
Curative Surgery ◽  
Evaluation Result ◽  
Testis Tumour ◽  
The Right ◽  
Late Metastasis ◽  
Disease Free

A 45-year-old male presented to our clinic with complaining of hematuria for a month. The investigations showed a 59 × 24-mm myxoid mass on the right lateral bladder wall and this was removed with transurethral resection. The histopathology evaluation result was seminoma (classic type). The medical history revealed that the patient had undergone inguinal orchiectomy for a testis tumour 10 years before and the diagnosis was classic type seminoma. He received chemotherapy following the orchiectomy, but had not gone for follow-up after the first year. There was no other metastasis and he was put on the iphosphamide, etoposide, cisplatin (IPE) protocol. The patient has been disease-free for the last 5 months and the tumour markers and cystoscopy were normal. Testis tumours can rarely cause other organ metastases in the late stage even if curative surgery and chemo-radiotherapy were initially administered. Proper follow-up is crucial. It is also necessary to query the tumour history when a tumour in any organ is considered.

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