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Bladder thickening/TCC/???

Sonopath Forum

Bladder thickening/TCC/???

Hi all,

This 10 yo MN doodle came in for routine exam and lab work. Went to cysto it and this is the bladder. Thoughts? Calcium elevated at 12.7 and BUN at 34. No urinary issues reported at home. 

Is this TCC territory or …. ?

Hi all,

This 10 yo MN doodle came in for routine exam and lab work. Went to cysto it and this is the bladder. Thoughts? Calcium elevated at 12.7 and BUN at 34. No urinary issues reported at home. 

Is this TCC territory or …. ?

Comments

4ebersoles

Hi!  I’m not a specialist, I

Hi!  I’m not a specialist, I do mobile US…. but I’d probably pass a u. cath and get a sample for UA and culture/sens.  Hard to tell what might be under all of that bladder sand/debris/mucus, etc.

Treat and recheck US in 2 weeks.  It should be more clear at that point.  Put power doppler on any irregular areas of the bladder wall, TCC often lights up like a Christmas tree.  🙂

Good luck!

Karen

EL

Not typical of tcc looks more

Not typical of tcc looks more like organized mucous and clots. Yes pass a catheter culture and cytology.

rlobetti

If culture and cytology

If culture and cytology negative run BRAF to exclude early TCC. With the elevated calcium and BUN would be concerned for lymphoma, anal sac tumor.

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