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Case Records of the Massachusetts General Hospital
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Volume 350:394-402 January 22, 2004 Number 4
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Case 3-2004 — A 57-Year-Old Man with Invasive Transitional-Cell Carcinoma of the Bladder
Donald S. Kaufman, M.D., William U. Shipley, M.D., W. Scott McDougal, M.D., and Robert H. Young, M.D.

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Presentation of Case

A 57-year-old man came to this hospital for bladder-sparing treatment of invasive transitional-cell carcinoma of the bladder.

He had had a slight burning sensation on urination for six months, and then he observed gross hematuria. Cystoscopy at another institution revealed a midline, posterior-wall mass, 3.0 by 3.0 by 1.4 cm, that involved the left ureteral orifice and that extended to the left lateral bladder wall. The mass was resected by the transurethral route, and pathological examination revealed transitional-cell carcinoma, grade 3 of 3, with invasion of the muscularis propria (Figure 1). There was invasion of the prostatic urethra, . . . [Full Text of this Article]

Pathological Discussion

Management Discussion

Surgical Management of Invasive Bladder Cancer

Bladder-Sparing Therapy for Invasive Bladder Cancer

Outcomes of Bladder-Sparing Therapy

Anatomical Diagnosis


Source Information

From the Division of Hematology–Oncology (D.S.K.) and the Departments of Radiation Oncology (W.U.S.), Urology (W.S.M.), and Pathology (R.H.Y.), Massachusetts General Hospital; and the Departments of Medicine (D.S.K.), Radiation Oncology (W.U.S.), Urology (W.S.M.), and Pathology (R.H.Y.), Harvard Medical School.



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