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Previous Volume 354:850-856 February 23, 2006 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Donald S. Kaufman: A 71-year-old woman was referred to this hospital for a second opinion on the management of a malignant tumor of the urinary bladder. Urinary incontinence had developed suddenly, six months earlier. One month after the onset of incontinence, the patient saw her primary care physician, who referred her to an incontinence clinic. An ultrasonographic study of the pelvis was obtained at another hospital, and the patient was told to see her gynecologist. On pelvic examination, the cervix was normal; there was marked thickening along the anterior wall of the vagina and bladder. No discrete pelvic mass . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Paula D. Ryan's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Departments of Medical Oncology (P.D.R., D.S.K.), Radiology (M.H.), and Pathology (M.F.L.), Massachusetts General Hospital; and the Departments of Medicine (P.D.R., D.S.K.), Radiology (M.H.), and Pathology (M.F.L.), Harvard Medical School — both in Boston.

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