PMC4569792_01
Ultrasound showing a 21 mm vegetating lesion on the bladder neck.
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The next ultrasound, performed by the same radiologist one year later, showed a 21 mm vegetating bladder lesion, close to the urethra (Figure 1).
Computed tomography with intravenous contrast, showing a contrast captating solid vesical lesion.
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The computed tomography showed the same finding: 19 mm solid bladder lesion, with contrast enhancement (Figure 2).
Preoperative image of the vesical lesion originating in the anterior aspect of the bladder neck, visible resection loop.
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After routine preoperative preparation, she was submitted under spinal anesthesia, to the transurethral resection of the lesion, whose base was located in the anterior aspect of the bladder neck, sessile (Figure 3).
Photomicrographs of the vesical lesion, intestinal mucinous carcinoma, originated from tubular polyp with low-grade dysplasia.
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Anatomical pathology showed intestinal mucinous carcinoma, originated from tubular polyp with low-grade dysplasia and suggested investigating gastrointestinal source (Figure 4).