Presentation
Abstract A one year old boy presented with dribbling of urine since birth. Ultrasonography showed bilateral hydronephrosis and hydroureter suggestive of posterior urethral valves. [ncbi.nlm.nih.gov]
In the majority of patients with bladder polyps, symptoms are not present in the early stages. However, a common symptom is the presence of blood in the urine. [belmarrahealth.com]
Keywords Malignant Melanoma Renal Cell Carcinoma Laparoscopic Cholecystectomy Cholecystitis Metastatic Renal Cell Carcinoma Case presentation A 64 year old Caucasian female presented with recurrent right upper quadrant pain that radiated through to her [casesjournal.biomedcentral.com]
Gastrointestinal
- Suprapubic Pain
The presentation is of a child with intermittent haematuria exacerbated by physical/sports activity associated with or without suprapubic pain. [ncbi.nlm.nih.gov]
●Suprapubic pain is usually a sign of a locally advanced tumor that is either directly invading the perivesical soft tissues and nerves or obstructing the bladder outlet and causing urinary retention. [es.slideshare.net]
Urogenital
- Hematuria
Every year or so since then, urinalysis at physicals has shown microscopic hematuria. It was explained to me that some people just have red blood cells in their urine which doesn't amount to anything. [medhelp.org]
Hematuria — The most common presenting symptom is hematuria, which is typically intermittent, gross, painless, and present throughout micturition. (See "Etiology and evaluation of hematuria in adults".) [es.slideshare.net]
MATERIAL AND METHODS: A 14-year-old boy presented at the Urology Department of "Elpis" Hospital complaining of painless macroscopic hematuria during the last six months. The patient did not report previous urinary tract disorders. [ncbi.nlm.nih.gov]
Please Log in or Create an account to join the conversation. 9 years 1 month ago #29464 by Patricia My husband got what he thought was hematuria soon after my cystectomy....Turned out he had eaten an entire jar of pickled beets!! Not hematuria. [bladdercancersupport.org]
- Dysuria
Proteinuria persisted for 20 months and was followed by dysuria and the discovery of an inflammatory polyp of the bladder. The proteinuria decreased 1 month after excision of the polyp, and disappeared during the following year. [ncbi.nlm.nih.gov]
This can very well be appreciated in these images. calculus in female urethra This female patient complained of dysuria for which she underwent routine sonography. [ultrasound-images.com]
CLINICAL PRESENTATION — Patients with bladder cancer classically present with painless hematuria (grossly visible or microscopic), although irritative voiding symptoms (frequency, urgency, dysuria) can be the initial manifestation. [es.slideshare.net]
Signs and symptoms Clinical manifestations of bladder cancer are as follows: Painless gross hematuria - Approximately 80-90% of patients; classic presentation Irritative bladder symptoms (eg, dysuria, urgency, frequency of urination) - 20-30% of patients [emedicine.medscape.com]
Associated symptoms are the usual ones encountered in cases of bladder pathology, such as hematuria, frequency or dysuria. [nature.com]
- Macroscopic Hematuria
MATERIAL AND METHODS: A 14-year-old boy presented at the Urology Department of "Elpis" Hospital complaining of painless macroscopic hematuria during the last six months. The patient did not report previous urinary tract disorders. [ncbi.nlm.nih.gov]
Workup
The workup is directed at exclusion of malignancy. 90% of bladder carcinomas are transitional cell carcinoma (TCC), 75% of which are papillary, 25% are infiltrative. [med-ed.virginia.edu]
No further workups were done at that time. Every year or so since then, urinalysis at physicals has shown microscopic hematuria. It was explained to me that some people just have red blood cells in their urine which doesn't amount to anything. [medhelp.org]
Gallbladder cancer is often discovered incidentally during a workup for gallstone disease, and about 50% of gallbladder cancer cases are diagnosed incidentally in cholecystectomy specimens. [emedicine.medscape.com]
Treatment
Treatment is surgical with good long-term prognosis. Not much is written in literature about benign fibroepithelial bladder polyp. [ncbi.nlm.nih.gov]
Excellent treatments exist for all stages of bladder cancer, and thus timely evaluation and treatment are important. [everydayhealth.com]
CONCLUSIONS: Minimally invasive treatment techniques can be safely applied in the treatment of such exceedingly rare tumors. [dialnet.unirioja.es]
Latest treatment for bladder cancer in New York City with offices in Manhattan midtown and UES and Brooklyn. Modern options including videocystoscopy, in-office biopsy, BCG and mytomycin C treatment. [newyorkurologyspecialists.com]
Prognosis
Treatment is surgical with good long-term prognosis. Not much is written in literature about benign fibroepithelial bladder polyp. [ncbi.nlm.nih.gov]
It is important to distinguish these polyps from urothelial cancers, since these two entities are different in treatment and prognosis, although similar in symptoms and imaging procedures. [dialnet.unirioja.es]
The prognosis is poor, and the majority of patients have unresectable disease. [hpblondon.com]
Though it is more prevalent in men, studies have shown that women are more likely to present more advanced tumors and have a worse prognosis than men at almost every stage of the disease. [bcan.org]
T1) B1: superficial muscle invastion (T2) B2: deep muscle invasion (T3A) C: perivesical fat invasion (T3B) D1: Invasion of contiguous viscera (T4A), invasion of pelvic or abdominal wall (T4B) D2: Regional lymphadenopathy (N4), distant metastases (M1) Prognosis [med-ed.virginia.edu]
Etiology
The etiology was inadvertent thermal injury of the ureteroneocystostomy incurred during the procedure. After attempted percutaneous management, definitive open repair resulted in a return of allograft function to baseline. [ncbi.nlm.nih.gov]
Van Poppel H, Nuttin B, Oyen R, Stessens R, Van Damme B, Verduyn H: Fibroepithelial polyps of the ureter – Etiology, diagnosis, treatment and pathology. Eur Urol 1986;12:174–179. [karger.com]
(See "Etiology and evaluation of hematuria in adults".) [es.slideshare.net]
The etiology in these cases is thought to be multifactorial, potentially involving exposure to numerous carcinogens. Arsenic exposure may be a factor in the development of bladder cancer. [emedicine.medscape.com]
Immunohistochemical evaluation of its etiology and differentiation from prostatic adenocarcinoma. Arch Pathol Lab Med 2006; 130 :805–810. 14. Tong GX, Weeden EM, Hamele-Bena D, et al. [nature.com]
Epidemiology
"Gallbladder polyps: epidemiology, natural history and management". Can J Gastroenterol. 16 (3): 187–94. PMID 11930198. ^ Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, Chiu CT (2008). [en.wikipedia.org]
Definition / general Exophytic intraluminal mass of vascular connective tissue and variable inflammatory cells covered by normal urothelium Epidemiology Rare; usually reported in children In adults, male predominance, median age 44 years, range 17-70 [pathologyoutlines.com]
Section 4.8 now includes details of an epidemiological... [evidence.nhs.uk]
Recurrence and progression of disease in non-muscle-invasive bladder cancer: from epidemiology to treatment strategy. Eur Urol. 2009 Sep. 56(3):430-42. [Medline]. [emedicine.medscape.com]
Pathophysiology
Authors’ Affiliations (1) The Clinical Immunology Research Centre, Beihua University, No. 3999 Binjiang Road, Jilin City, Jilin, China (2) The Pathophysiology department of basic medical college, Jilin University, NO. 126, Xinmin street, Changchun City [bmcimmunol.biomedcentral.com]
Nonurothelial primary bladder tumors are extremely rare and may include small cell carcinoma, carcinosarcoma, primary lymphoma, and sarcoma (see Pathophysiology ). [emedicine.medscape.com]
Prevention
Prevention Since having benign bladder polyps is strongly associated with smoking, it is best to reduce or quit smoking completely to prevent recurrence. [healthyliving.azcentral.com]
Not smoking is the most important thing a person can to do help prevent bladder cancer. If you already have bladder cancer, you should still stop smoking because bladder cancer often recurs, and smoking could bring about a recurrence. [news-medical.net]
Diagnosis and management of primary sclerosing cholangitis [PDF] 01 February 2010 - Publisher: American Association for the Study of Liver Diseases These flexible recommendations suggest preferred approaches to the diagnostic, therapeutic and preventative [evidence.nhs.uk]
Sometimes, it is necessary to remove them only to confirm that they are non cancerous or to prevent the disconcerting but not strictly dangerous symptoms associated with these polyps, i.e. painful urine or blood in urine. [womenhealthzone.com]