A 14-year-old MN Schnauzer with a history of well controlled diabetes mellitus was presented for evaluation of a UTI a bladder mass.
Case Study
Bladder mass in a diabetic 14 yr old, MN, Schnauzer
DX
Caudal ventral bladder mass
Sonographic Differential Diagnosis
Caudal ventral bladder mass. This appears to be resectable. Slight kissing lesion polyp dorsal to the mass and apical polyp.
Image Interpretation
The urinary bladder presented a ventral mass approximately 2.2 x 1.0 cm. The mass was cranial to the cystourethral junction with a dorsal polyp kissing lesion that measured 0.2 x 0.5 cm. An apical polyp was also present. The bladder mass was particularly vascular. The pelvic urethra was imaged 4.0 cm beyond the cystourethral junction and appeared free of evident pathology.
Outcome
Surgical consultation or surgical resection of the ventral bladder mass, dorsal polyp and apical polyp is recommended. Three separate resection sites would be necessary. However, the ureters and urethra appeared to be free of evident pathology at this time. This is strongly consistent with transitional cell carcinoma. Traumatic catheterization could be considered for confirmation of this suspicion.
Clinical Differential Diagnosis
Neoplasia, polyploid cystitis, chronic bacterial cystitis, granulomatous cystitis
Patient Information
Patient Name :
Jack Scalise
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
History
- Diabetes, controlled
Exam Finding
- Masses
Images
