M.M
۶۹
۷۸
خانــم
در مورد وجود ضایعه در مثانه؟
سلام خانم دکتر عزیز،
ممنون میشم در مورد گزارش ام آر آی و میزان ضرورت عمل برداشتن این ضایعه اظهار نظر بفرمایید.
Clinical Data: Patient has history of old bladder neoplastic process who underwent surgery.
MR study with multiplanar images with different pulse sequences ( before
and after IV contrast injection );
In multiplanar MR images of abdominal cavity, liver, spleen, pancreas,
kidneys, gallbladder and biliary ducts appear normal.
No SOL or paraaortic lymphadenopathy is noted.
No ascites is seen.
No pathologic enhancement is noted.
PELVIC MRI WITH & WITHOUT CONTRAST:
MR study with multiplanar images with different pulse sequences
( before and after IV contrast injection )
Evidence of polypoid enhancing lesion measuring about 25x15 mm is seen arising from left
posterior wall of bladder, in trigone of bladder, adjacent to left UVJ, confined to bladder wall
without invasion to visceral layer, highly suggestive for bladder neoplastic process (TCC ?).
No apparent hydroureteronephrosis is detected.
Few tiny diffusion restricted regional lymph nodes are seen at left pelvic cavity with maximum SAD
3-4 mm.
No apparent para aortic lymphadenopathy is detected.
Recommendation: Correlation with cystoscopic exam and excisional biopsy is recommended
ممنون میشم در مورد گزارش ام آر آی و میزان ضرورت عمل برداشتن این ضایعه اظهار نظر بفرمایید.
Clinical Data: Patient has history of old bladder neoplastic process who underwent surgery.
MR study with multiplanar images with different pulse sequences ( before
and after IV contrast injection );
In multiplanar MR images of abdominal cavity, liver, spleen, pancreas,
kidneys, gallbladder and biliary ducts appear normal.
No SOL or paraaortic lymphadenopathy is noted.
No ascites is seen.
No pathologic enhancement is noted.
PELVIC MRI WITH & WITHOUT CONTRAST:
MR study with multiplanar images with different pulse sequences
( before and after IV contrast injection )
Evidence of polypoid enhancing lesion measuring about 25x15 mm is seen arising from left
posterior wall of bladder, in trigone of bladder, adjacent to left UVJ, confined to bladder wall
without invasion to visceral layer, highly suggestive for bladder neoplastic process (TCC ?).
No apparent hydroureteronephrosis is detected.
Few tiny diffusion restricted regional lymph nodes are seen at left pelvic cavity with maximum SAD
3-4 mm.
No apparent para aortic lymphadenopathy is detected.
Recommendation: Correlation with cystoscopic exam and excisional biopsy is recommended
1 پـاسـخ
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دکتر بهاره آسان متخصص زنان و زايمان
سلام مممنون از سوالي كه پرسيدين ولي ضايعه شما مشكوك به بدخيمي در مثانه است و بايد با متخصص مربوطه كه ارولوژيست يعني متخصص كليه و مجاري ادراري صبحت و مشورت كنين،من متخصص زنان هستم،لطفا هر چه سريعتر با ارولوژيست مشاوره كنين.ممنونم