Sunday, October 9, 2011

Carcinoma of urinary bladder on TRUS

Often carcinoma of the urinary bladder can mimic an enlarged prostate (usually the median lobe). The projecting median lobe of prostate can often appear bilobed or even polypoid on Transrectal ultrasound scan (TRUS). Carefully imaging the entire prostate and checking for continuity of the prostate and the mass can help verify the exact origin of the mass in question.
  This case study just highlights this dilemma. The patient, an elderly male had a mass or rather a pair of masses located very close to the bladder neck. On TRUS the prostate appeared small and showed no direct continuity with the masses. The ultrasound and color Doppler video clips demonstrates this very well.

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