Histopathological analysis of a bladder cancer stalk observed on MRI

Papillary transitional cell carcinoma of the bladder has a loose connective tissue stalk. For staging of bladder cancer on magnetic resonance imaging (MRI), it is important to clearly separate the cancer from the bladder wall. It is possible to distinguish a stalk from the cancer by the difference o...

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Veröffentlicht in:Magnetic resonance imaging 2000-05, Vol.18 (4), p.411-415
Hauptverfasser: Saito, Waka, Amanuma, Makoto, Tanaka, Junji, Heshiki, Atsuko
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container_title Magnetic resonance imaging
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creator Saito, Waka
Amanuma, Makoto
Tanaka, Junji
Heshiki, Atsuko
description Papillary transitional cell carcinoma of the bladder has a loose connective tissue stalk. For staging of bladder cancer on magnetic resonance imaging (MRI), it is important to clearly separate the cancer from the bladder wall. It is possible to distinguish a stalk from the cancer by the difference of intensity on the using MRI. Sixteen stalks of 20 polypoid bladder tumors on any of the T2WI, dynamic images and delayed enhanced images were demonstrated. Most of the stalks show lower signal intensity than the tumors on T2WI, less enhancement on dynamic images and stronger enhancement on delayed enhanced images. The stalk consisted of fibrous connective tissue, capillary blood vessels, inflammatory cell infiltration and edema. This stalk extended from the bladder wall to the center of the tumor. Some of the superficial muscular bundles were pulled into the stalk. These histopathological findings were compatible with the patterns of signal intensities on MRI. The identification of the stalk of a polypoid tumor may be an important observation to exclude bladder wall invasion by tumor.
doi_str_mv 10.1016/S0730-725X(00)00124-7
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Bladder cancer
Carcinoma, Transitional Cell - diagnosis
Carcinoma, Transitional Cell - pathology
Female
Histopathology
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Stalk
Tumors of the urinary system
Urinary Bladder - pathology
Urinary Bladder Neoplasms - diagnosis
Urinary Bladder Neoplasms - pathology
Urinary tract. Prostate gland
title Histopathological analysis of a bladder cancer stalk observed on MRI
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