Bladder thickening/TCC/???


Hi all,

This 10 yo MN doodle came in for routine exam and lab work. Went to cysto it and this is the bladder. Thoughts? Calcium elevated at 12.7 and BUN at 34. No urinary issues reported at home. 

Is this TCC territory or …. ?

Hi all,

This 10 yo MN doodle came in for routine exam and lab work. Went to cysto it and this is the bladder. Thoughts? Calcium elevated at 12.7 and BUN at 34. No urinary issues reported at home. 

Is this TCC territory or …. ?


3 responses to “Bladder thickening/TCC/???”

  1. Hi!  I’m not a specialist, I

    Hi!  I’m not a specialist, I do mobile US…. but I’d probably pass a u. cath and get a sample for UA and culture/sens.  Hard to tell what might be under all of that bladder sand/debris/mucus, etc.

    Treat and recheck US in 2 weeks.  It should be more clear at that point.  Put power doppler on any irregular areas of the bladder wall, TCC often lights up like a Christmas tree.  🙂

    Good luck!

    Karen

  2. If culture and cytology

    If culture and cytology negative run BRAF to exclude early TCC. With the elevated calcium and BUN would be concerned for lymphoma, anal sac tumor.

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