Urinary bladder

From Libre Pathology
Revision as of 21:26, 17 April 2012 by Michael (talk | contribs)
Jump to navigation Jump to search

The urinary bladder stores urine until one has to go wee-wee.

It is commonly afflicted by cancer.

A well-know mimicker of cancer is malakoplakia.[1]

Normal

Microscopic

  • Muscularis mucosae - thin, discontinuous.
  • Fat - many be in lamina propria.

Note:

  • On TURBT - don't ever call T3.

Urinary bladder cancer

The most common type of cancer to affect the bladder is urothelial carcinoma, which is covered in the urothelium article.

DDx:

Squamous cell carcinoma of the urinary bladder

General

  • Uncommon.

Microscopic

Features:

Urachal carcinoma

General

  • Rare.[2]
  • Classically - dome of bladder lesion.
  • Younger <55 years-old.

Microscopic

Patterns

  • Enteric - looks like colonic adenocarcinoma.
  • Mucinous.
  • Signet ring.

DDx:

  • Metastatic adenocarcinoma/adenocarcinoma extending from another structure.
  • Adenocarcinoma arising from the urinary bladder.

Images:

See also

References

  1. Wong-You-Cheong JJ, Woodward PJ, Manning MA, Davis CJ (2006). "From the archives of the AFIP: Inflammatory and nonneoplastic bladder masses: radiologic-pathologic correlation". Radiographics 26 (6): 1847–68. doi:10.1148/rg.266065126. PMID 17102055.
  2. Ashley, RA.; Inman, BA.; Sebo, TJ.; Leibovich, BC.; Blute, ML.; Kwon, ED.; Zincke, H. (Aug 2006). "Urachal carcinoma: clinicopathologic features and long-term outcomes of an aggressive malignancy.". Cancer 107 (4): 712-20. doi:10.1002/cncr.22060. PMID 16826585.