Bladder Transitional Cell Carcinoma Masquerading as Tuberculous Contracted Bladder

Chang Seung Liu; Seung Hun Seol; Yun Hyung Jang; Yeon Won Park; Jin Hyung Lee; Seung Ki Min

doi:10.4111/kju.2006.47.1.101

Journal List > Korean J Urol > v.47(1) > 1069748

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Liu, Seol, Jang, Park, Lee, and Min: Bladder Transitional Cell Carcinoma Masquerading as Tuberculous Contracted Bladder

Original Article

Korean J Urol 2006;47(1):101-104.

Published online: 18 December 2006

DOI: https://doi.org/10.4111/kju.2006.47.1.101

Bladder Transitional Cell Carcinoma Masquerading as Tuberculous Contracted Bladder

Chang Seung Liu, Seung Hun Seol, Yun Hyung Jang, Yeon Won Park, Jin Hyung Lee, Seung Ki Min

¹From the Department of Urology, National Police Hospital, Seoul, Korea

Corresponding Author: Min Seung-gi Department of Urology, National Police Hospital 58 Garakbon-dong, Songpa-gu, Seoul ? 138-708 TEL: 02-3400-1264 FAX: 02-431-3192 E-mail: msk0701@hanmail.net

Received 13 July 2005 Accepted 6 October 2005

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bladder cancer is generally manifested with gross hematuria and this is the most common urinary tract neoplasm in Korea, but it is very rare to find it combined with a contracted bladder. A case of contracted bladder was suspected as being recurred urinary tuberculosis; because of her past history, the urine analysis and cystoscopic findings seemed to resemble the chronic inflammation associated with urinary tuberculosis, and the transurethral biopsy reported only chronic inflammation. Yet the final histopathologic report after cystectomy and urinary diversion revealed that there was no tuberculosis, but rather, there was bladder transitional cell carcinoma (TCC). Therefore, any contracted bladder found in an older age patient is considered to be a urinary TCC until proven otherwise. To the best of our knowledge, this is the first case of bladder TCC combined with contracted bladder. (Korean J Urol 2006;47:101-104)

Keywords: Carcinoma, transitional cell, Bladder, Tuberculosis

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Fig. 1.

Cystogram via intravenous urography (IVU) shows a markedly decreased bladder volume.

Fig. 2.

Microscopic finding of the bladder mucosa. There are some urotheliums that look like epithelial hyperplasia with atypism, but no typical tumor cells are noted (H&E, x100).

Fig. 3.

Compared with previous IVU, this study shows a more contracted bladder and that is segmental stricture of the left distal ureter.

Fig. 4.

Microscopic finding of the cystectomized bladder. (A) There is focal invasion of tumor cells, which show loss of maturity and polarity (H&E, x200). (B) The whole thickness of the epithelium is replaced with tumor cells, including large, pleomorphic and hyperchromatic nucleus (H&E, x100).

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