Urethrocystoscopic Features in Cases with Urinary Bladder Cancer in Mosul:

A.M. Attarbashii, Ali

	Urethrocystoscopic Features in Cases with Urinary Bladder Cancer in Mosul: " a Case Series Study "
Medical Journal of Tikrit
Article 1, Volume 19, Issue 1, 2013, Pages 134-141
Author
Ali A.M. Attarbashii
Abstract
Background: Bladder cancer can occur at any age-even in children. However, it’s a disease of middle aged and elderly person, with median age at diagnosis for transitional cell carcinoma being 69 years in males and 71 years in female. Aim: to determine the urethrocystoscopic features in cases with urinary bladder cancer in Mosul city. Patients and methods: A case series study of forty patients of newly diagnosed bladder cancer was carried out at Al-Jomhory Teaching Hospital in Mosul from November 2001 to February 2003. Detailed history was taken and physical examination was done for each study case. Urinalysis and transabdominal ultrasound examination were performed for all patients under study while intravenous urography was done for only cases with abnormal ultrasound finding of the upper urinary tract. Abdominal and pelvic magnatic resonance imaging was selectively done for cases with muscle invasive diseases. Urethrocystoscopy as well as examination under anesthesia were performed for all cases whereby multiple (cold cup or resectional) biopsies were taken and examined histopathlogically. Results: Thirty four cases (85%) were males, 6 cases (15%) were females. Mean age was 59 years for males and 56 years for females. By urethrocystoscopy; 57.5% of the study cases had papillary lesions, 37.5% had sessile lesions and 5% had mixed lesions. Majority of cases (85%) had lesions sized larger than 10 mm in diameter. Twenty-three cases (57.5%) had solitary lesions while the remaining had two or more lesions. The lateral wall and the posterior wall (including the trigon) of the urinary bladder were the most commonly involved sites by bladder cancer. Ureteric orifice involvement by the tumor was seen in 27.5% while prostatic involvement was seen in 14.7% of cases. Histopathological examination revealed 97.5% having transitional cell carcinoma and only one case (2.5%) of paraganglioma. Examination Under Anaesthesia was done for all cases which revealed that there were increases in the positive findings (induration or mass) in relation to the increases in tumor stage or size. Conclusion: transitional cell carcinoma is the commonest type of urinary bladder cancer in Mosul. More than half of the cases harbored a papillary growth pattern which had a more superficial (muscle non-invasive) disease while the remaining cases harbored a sessile or mixed growth pattern which had a deeper (muscle invasive) disease. The probability of obtaining positive findings by examination under anaesthesia increased with the increase in tumor stage or size.
Keywords
Urinary bladder cancer; Urothelial tumors; Urethrocystoscopy

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Urethrocystoscopic Features in Cases with Urinary Bladder Cancer in Mosul: " a Case Series Study "