Ultrasonographic analysis of bladder tumors


      To analyze the ultrasonographic features of bladder tumors during transabdominal ultrasonography. Ultrasonograms of consecutive patients diagnosed to have bladder tumors from August 1992 to May 1999 were reviewed retrospectively and correlated with the final histological diagnoses. Various features, including the location, size, multiplicity, shape, surface and presence of calcification, of the bladder tumors were analyzed. Of 109 patients reviewed, 104 had transitional cell carcinoma, 3 adenocarcinoma, 1 carcinosarcoma and 1 prostatic carcinoma. A total of 130 tumors (including 13 multifocal tumors) were detected with 30 (27.5%) patients having more than one tumor in the bladder. Tumor size ranged from 0.5 to 9.7 cm (mean 2.7 cm). The tumor involved the trigone (63, 48.5%), lateral wall (32, 24.6%), posterior wall (17, 13.1%), anterior wall (5, 3.8%) or was multifocal (13, 10%). Sixty-seven (51.5%) tumors were polypoidal, 47 (36.2%) were sessile and 16 (12.3%) plaque-like. The surface was regular in 50 (38.5%) tumors and irregular in 80 (61.5%) tumors. Calcified foci were noted in 54 (41.5%) tumors. There was no statistically significant correlation between ultrasonographic features. The most common appearance is a polypoid lesion arising from the trigone, but there was much variation in the ultrasonographic features of bladder tumors.


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        • Barentsz JO
        • Jager GI
        • Witjes JA
        • Ruijs JHJ
        Primary staging of urinary bladder carcinoma: the role of MRI and a comparison with CT.
        Eur Radiol. 1996; 6: 129-133
        • Husband JE
        Staging bladder cancer.
        Clin Radiol. 1992; 46: 153-159
        • McCredie M
        Bladder and kidney cancers.
        Cancer Surv. 1994; 19: 343-363
        • Cummings KB
        • Barone JG
        • Ward SW
        Diagnosis and staging of bladder cancer.
        Urol Clin North Am. 1992; 19: 455-465
        • Yip KH
        • Peh WCG
        • Tam PC
        • Li JHC
        • Lam CHL
        Day case hematuria diagnostic service: use of ultrasonography and flexible cystoscopy.
        Urology. 1998; 52: 762-766
        • Braeckman J
        • Denis L
        The practice and pitfalls of ultrasonography in the lower urinary tract.
        Eur Urol. 1983; 9: 193-201
        • Malone PR
        Transabdominal ultrasound surveillance for bladder cancer.
        Urol Clin North Am. 1989; 16: 823-827
        • Spencer J
        • Lindsell D
        • Mastorakou I
        Ultrasound compared with intravenous urography in the investigation of adults with haematuria.
        Br Med J. 1990; 301: 1074-1076
        • Bessell EM
        • Price HM
        • McMillan PJ
        The measurement of the regression of carcinoma of the bladder using ultrasonography and CT scanning during and after radical radiotherapy.
        Radiother Oncol. 1990; 19: 145-147
        • Heney NM
        • Nocks BN
        • Daly JJ
        • Prout GR
        • Newall JB
        • Griffin PP
        • Perrone TL
        • Szyfelbein WA
        Ta and T1 bladder cancer: location, recurrence and progression.
        Br J Urol. 1982; 54: 152-157
        • Malone PR
        • Weston-Underwood J
        • Aron PM
        • Wilkinson KW
        • Joseph AEA
        • Riddle PR
        The use of transabdominal ultrasound in the detection of early bladder tumours.
        Br J Urol. 1986; 58: 520-522
        • Itzchak Y
        • Singer D
        • Fischelovitch Y
        Ultrasonographic assessment of bladder tumors: I. Tumor detection.
        J Urol. 1980; 126: 31-33
        • Allard P
        • Bernard P
        • Fradet Y
        • Tetu B
        The early clinical course of primary Ta and T1 bladder cancer: a proposed prognostic index.
        Br J Urol. 1998; 81: 692-698
        • Watanabe H
        • Nakao M
        • Nakagawa S
        • Takada H
        Size and location of tumors influencing the effect of bladder instillation therapy.
        Cancer Chemother Pharmacol. 1987; 20 (Supplement): 49-51