Abstract
A 69-yr-old woman presented with a bulky hypogastric mass and abdominal pain. Computed tomography scan showed a mass anterosuperior and contiguous to the bladder wall, with a hypodense content, a voluminous bladder stone, and bilateral hydroureteronephrosis. Intraoperatively, the supravesical mass had the appearance of an infected urachal cyst. An unsuspected high-grade noninvasive papillary transitional cell carcinoma (TCC) of the bladder thoroughly surrounding the bladder stone became evident during the cystolithotomy. Postoperative videourodynamic study showed a normal voiding pattern with bilateral grade 4 vesicoureteral reflux. Early cystectomy was performed for uncontrolled recurrent bladder cancer, and the final pathology indicated pT1G3N0 TCC.
MeSH terms
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Abdominal Pain / diagnosis
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Abdominal Pain / etiology
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Aged
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Carcinoma, Transitional Cell / diagnostic imaging
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Carcinoma, Transitional Cell / pathology*
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Carcinoma, Transitional Cell / surgery
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Cystectomy / methods
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Female
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Follow-Up Studies
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Humans
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Hydronephrosis / diagnostic imaging
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Hydronephrosis / physiopathology
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Immunohistochemistry
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Neoplasm Invasiveness / pathology*
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Neoplasm Staging
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Pelvic Neoplasms / diagnosis
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Pelvic Neoplasms / surgery
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Postoperative Complications / physiopathology
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Risk Assessment
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Tomography, X-Ray Computed
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Treatment Outcome
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Urachal Cyst / diagnostic imaging*
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Urachal Cyst / surgery
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Urinary Bladder Calculi / diagnostic imaging
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Urinary Bladder Calculi / pathology*
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Urinary Bladder Calculi / surgery
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Urinary Bladder Neoplasms / diagnostic imaging
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Urinary Bladder Neoplasms / pathology*
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Urinary Bladder Neoplasms / surgery
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Urodynamics
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Vesico-Ureteral Reflux / diagnosis