Bladder transitional cell carcinoma: a case report

• Autores: Cabrales Fuentes, José, Comas Tamayo, Yunior, Ramírez Tasé, Osman, Mendoza Cabalé, Alejandro, Lahenz Martín, Rayner Ramón
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Universidad de San Martín de Porres
• Repositorio: Horizonte médico
• Lenguaje: español
• OAI Identifier: oai:horizontemedico.usmp.edu.pe:article/3020
• Enlace del recurso: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/3020
• Nivel de acceso: acceso abierto
• Materia: Imagenología; Tumor de Vejiga; Carcinoma de Células Transicionales; Imaging; Bladder Tumor; Carcinoma, Transitional Cell

In current clinical oncology, transitional cell carcinoma of the bladder serves as a highly representative model for development in basic, pathogenic and therapeutic research. This casereport presents a transitional cell carcinoma of the bladder with a diagnostic approach thatintegrates clinical and imaging methods. The patient is a 67-year-old white male with a historyof macroscopic hematuria who was referred for diagnostic imaging. A lower abdominal ultrasoundrevealed a focal exophytic lesion with features suggestive of neoplastic proliferation. Non-contrastand contrast-enhanced computed tomography (CT) scans were performed for staging purposesand to further assess possible secondary infiltration into adjacent organs, including pelvic lymphnodes, and systemic metastases. The study was complemented by cystoscopy, which showed focalmural thickening within the organ, caused by a fluctuating intraluminal lesion with a tumor-likeappearance. Surgical resection of the tumor was performed for subsequent histologic examination,which confirmed the diagnosis of low-grade transitional cell carcinoma of the bladder. Therefore,the patient was treated and placed under follow-up. This demonstrates that, provided physiciansmaster fundamentals and procedures, establishing a pathway based on clinical and imaging findingscan lead to improved patient care. This article reorients the approach to this nosological entitytoward a relevant and current methodology, grounded in the organized integration of diagnosticstudies to be conducted without creating a dichotomy between them.