Sonopath Forum

Prostatic TCC

10 year old MN Lab X with prostatic TCC diagnosed on cytology from prostatic wash
Ultrasound done to assess if primary bladder or prostate – bladder has mild changes but seems to be primary prostate
How would you describe these prostatic changes? I have not seen this picture before

10 year old MN Lab X with prostatic TCC diagnosed on cytology from prostatic wash
Ultrasound done to assess if primary bladder or prostate – bladder has mild changes but seems to be primary prostate
How would you describe these prostatic changes? I have not seen this picture before

Comments

rlobetti

January 3, 2019 at 3:06 pm -

Two other possiblities would

Two other possiblities would be an intra-prostatic cyst and abscess. Both of these can result in a false diagnosis of TCC on a wash. Would recommend FNA aspirate of the cyst as well as the surrounding prostatic tissue.

veteurope1

January 3, 2019 at 3:14 pm -

Thanks Rob – would you

Thanks Rob – would you describe this as two intraparenchymal irregular fluid filled structures with thick hyperechoic walls with areas of mineralisation? Would you agree there is also thickening of the bladder neck and proximal urethra though?

rlobetti

January 3, 2019 at 3:21 pm -

Correct with your description

Correct with your description but not convinced about the thickening of the bladder neck/urethra.