Case 8-1981

Presentation of Case A 56-year-old woman was admitted to the hospital because of a tumor of the urinary bladder. She was well until two years earlier, when she began to pass tissue and blood in the urine intermittently. She did not seek medical advice. Three weeks before admission she consulted a urologist after repeated bouts of hematuria. Cystoscopic examination showed a tumor within the bladder. Microscopical examination of washings from the bladder revealed malignant-tumor cells. An intravenous pyelographic examination with nephrotomograms demonstrated a normal appearance of the left kidney; a mass, 4 cm in diameter, believed to be a simple . . .