An Atypical Presentation of Bladder Carcinoma in a Postmenopausal Woman

Abstract

Transitional cell carcinoma (TCC) or urothelial carcinoma is the most common type of urinary bladder cancer. It roughly accounts for 95% of bladder cancer. It can occur due to cigarette smoking, aniline dye used in paint industry, and agrochemicals. TCC can be papillary, sessile, or carcinoma in situ. These patients most commonly present with hematuria and dysuria. Also, increase in frequency and urgency are also noted.Here, we present a case of high-grade transitional cell carcinoma of bladder which, presented as a pelvic mass with no history of hematuria or dysuria. All the tumor markers were normal and imaging was suspicious, so diagnostic laparoscopy was planned, which ultimately converted to laparotomy due to intraop bleeding. It was subsequently shown to be originated from bladder. This case also indicates the role of good imaging analysis in a pelvic mass despite normal tumor marker, and it subsequently helps in the planning of the management.