Volume : VII, Issue : VII, July - 2017

A PROSPECTIVE STUDY OF THE IMAGING OF URINARY BLADDER NEOPLASM BY ULTRASOUND AND COMPUTED TOMOGRAPHY.

Dr. Pranita Vishwas . G, Dr. Megharanjini

Abstract :

 AIMS AND OBJECTIVES

•         To demonstrate the radiological features of Urinary bladder carcinoma by US and CT. 


•         To compare US and CT in identifying, characterizing and staging of Urinary bladder carcinoma. 

 

Materials and methods

 

Age, gender of patient, presenting complaints were analysed

Number , morphology , depth of  wall invasion , calcifications , location, size, shape, margins , perivesicle fat extension and invasion into adjacent organ , extension of the mass to the lateral pelvic wall and distant metastasis was valuated by USG.

 

Urinary bladder mass was examined for morphology, enhancement , wall invasion , calcifications, number, location, size, shape, margins , perivesicle fat stranding and adjacent organ invasion , extension of the mass to the lateral pelvic wall and distant metastasis were studied by CT.

 

For staging of Urinary bladder tumour the TNM staging were used.
Regional lymph nodes were considered to be enlarged if they were at least 15mm in the short axis.

Staging of Urinary bladder tumours by US and CT were compared with histopathological findings. Strength of agreement between US, CT and histopathological findings were analysed.

 

CONCLUSION

•         Urinary Bladder carcinoma is more common in males with a peak incidence during fifth decade. Characteristic and commonest presenting feature is gross hematuria. 


Most common location for a urinary bladder neoplasm is the trigone of the bladder and most common morphology is a polypoidal   lesion irrespective of the histopathological diagnosis.  


•         On ultrasound most of the Urinary bladder tumours appear isoechoic to hypoechoeic and on non enhanced CT majority of them are isodense and show homogenous enhancement. 


•         Both US and CT have limitation in differentiating Stage TI from T2a and T2b. 


•         CT is superior to US in detecting perivesicle extension , lymphnodes, involvement of the adjacent viscera and distant metastasis. 


•         US should be the initial modality in investigating patients who present with clinical symptoms suggestive of Urinary bladder neoplasms. 


•         CT should be done for staging the tumour and in lesions with indeterminate sonographic findings. 


Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. PRANITA VISHWAS .G, Dr. MEGHARANJINI, A PROSPECTIVE STUDY OF THE IMAGING OF URINARY BLADDER NEOPLASM BY ULTRASOUND AND COMPUTED TOMOGRAPHY., INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017

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