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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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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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. 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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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bladder cancer</subject><subject>Carcinoma, Transitional Cell - diagnosis</subject><subject>Carcinoma, Transitional Cell - pathology</subject><subject>Female</subject><subject>Histopathology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Stalk</subject><subject>Tumors of the urinary system</subject><subject>Urinary Bladder - pathology</subject><subject>Urinary Bladder Neoplasms - diagnosis</subject><subject>Urinary Bladder Neoplasms - pathology</subject><subject>Urinary tract. Prostate gland</subject><issn>0730-725X</issn><issn>1873-5894</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotlYfQZmFiC5GTzKTSboSqZcWKoIXcBcymUSj06Ym00Lf3rRT1J2rszjffy4fQocYzjHg4uIJWAYpI_T1FOAMAJM8ZVuoiznLUsr7-Tbq_iAdtBfCBwBQktFd1MHAOGeYd9H10IbGzWTz7mr3ZpWsEzmV9TLYkDiTyKSsZVVpnyg5VbGERtafiSuD9gtdJW6a3D-O9tGOkXXQB5vaQy-3N8-DYTp-uBsNrsaposCbFPOKlEVJpWbMUCMpZYRpqoGwkuB81ZZAIc-NkgUYrhRhGVNFZnifVHk_66GTdu7Mu6-5Do2Y2KB0XcupdvMgWPyLYk4jSFtQeReC10bMvJ1IvxQYxEqfWOsTKzcCQKz1CRZzR5sF83Kiqz-p1lcEjjeADNGV8dGKDb9clrO8yCJ22WI62lhY7UVQVkeBlfVaNaJy9p9LvgGPTosi</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Saito, Waka</creator><creator>Amanuma, Makoto</creator><creator>Tanaka, Junji</creator><creator>Heshiki, Atsuko</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Histopathological analysis of a bladder cancer stalk observed on MRI</title><author>Saito, Waka ; Amanuma, Makoto ; Tanaka, Junji ; Heshiki, Atsuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-18d2b6b5ae77f5fa55727e5e027b21418d2a05044fca60f8cc2737c63f892d493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bladder cancer</topic><topic>Carcinoma, Transitional Cell - diagnosis</topic><topic>Carcinoma, Transitional Cell - pathology</topic><topic>Female</topic><topic>Histopathology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Stalk</topic><topic>Tumors of the urinary system</topic><topic>Urinary Bladder - pathology</topic><topic>Urinary Bladder Neoplasms - diagnosis</topic><topic>Urinary Bladder Neoplasms - pathology</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saito, Waka</creatorcontrib><creatorcontrib>Amanuma, Makoto</creatorcontrib><creatorcontrib>Tanaka, Junji</creatorcontrib><creatorcontrib>Heshiki, Atsuko</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saito, Waka</au><au>Amanuma, Makoto</au><au>Tanaka, Junji</au><au>Heshiki, Atsuko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Histopathological analysis of a bladder cancer stalk observed on MRI</atitle><jtitle>Magnetic resonance imaging</jtitle><addtitle>Magn Reson Imaging</addtitle><date>2000-05-01</date><risdate>2000</risdate><volume>18</volume><issue>4</issue><spage>411</spage><epage>415</epage><pages>411-415</pages><issn>0730-725X</issn><eissn>1873-5894</eissn><coden>MRIMDQ</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10788718</pmid><doi>10.1016/S0730-725X(00)00124-7</doi><tpages>5</tpages></addata></record> |
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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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