Abstract
The most important reason for undertaking computed tomography (CT) of the urinary bladder is to assess patients with bladder cancer either as part of routine pretreatment staging and radiotherapy treatment planning or for restaging after therapy. Moreover, other primary tumors occasionally arise within the bladder wall, such as non-Hodgkin’s lymphoma and rarely pheochromocytomas. Metastases to the bladder are uncommon, but deposits from such tumors as malignant melanoma may be seen with advanced disease. More commonly the bladder is invaded by other primary tumors arising in adjacent organs, such as the prostate, cervix uteri, and sigmoid colon. CT is then carried out for staging the primary tumor and may also be required to evaluate complications such as the development of a fistula. It is rarely undertaken to assess benign disease of the urinary bladder, but it should be remembered that pelvic abscesses may involve the bladder and chronic infection may produce generalized bladder wall thickening.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Husband J, Olliff J, Williams M, et al. Bladder cancer: staging with CT and MR imaging. Radiology 1989; 173: 435–440
Seidelmann F, Cohen W, Bryan P, et al. Accuracy of CT staging of bladder neoplasms using the gas-filled method: report of 21 patients with surgical confirmation. AJR 1978; 130: 735–739
Sager E, Talle K, Fossa S, et al. The role of CT in demonstrating perivesical tumor growth in the preoperative staging of carcinoma of the urinary bladder. Radiology 1983; 146: 443–446
Hidell J, Nyman U, Norlindh S, et al. New intravesical contrast medium for CT: preliminary studies with arachis (peanut) oil. AJR 1981; 137: 777–780
Hari S, Okawa M, Miyoshi K, et al. Computed tomography of the urinary bladder using the olive oil-filled method. Acta Urol Jpn 1980; 26: 545–547
Hamlin D, Cockett A, Burgener F. Computed tomography of the pelvis: sagittal and coronal image reconstruction in the evaluation of inf iltrative bladder carcinoma. J Comput Assist Tomogr 1981; 5: 27–33
Urban B, Fishman E. Helical (spiral) CT of the female pelvis. Radiol Clin North Am 1995; 33: 933–948
Havard A. Technical report: the post-micturition CT scan as an aid to staging bladder cancer. Clin Radiol 1992; 45: 201–202
Cancer Statistics. American Cancer Society, 1995
Boring C, Squires T, Tong T. Cancer statistics 1991.CA 1991; 41: 19
Rehn L. Blasen geschwulte bei fuchsin-arbeitern. Arch Klin Chir 1895; 50: 588–600
Clavel J, Cordier S, Baccon-Jibod L, et al. Tobacco and bladder cancer in males: increased risk for inhalers and smokers of black tobacco. Int J Cancer 1989; 44: 605–610
Gonzalez C, Lopez-Abente G, Errezola M, et al. Occupation and bladder cancer in Spain: a multi-center case-control study. Int J Epidemiol 1989; 18: 569–577
Iyer V, Harris R, Wynder E. Diesel exhaust exposure and bladder cancer risk. Eur J Urol Epidemiol 1990; 6: 49–54
Piper J, Matanoski G, Tonascia J. Bladder cancer in young women. Am J Epidemiol 1986; 123: 1033–1042
Kantor A, Hartge P, Hoover R, et al. Epidemiological characteristics of squamous cell carcinoma and adenocarcinoma of the bladder. Urol Radiol 1988; 48: 3853–3855
Lynch H, Kimberling W, Lynch J, et al. Familial bladder cancer in an oncology clinic. Cancer Genet Cytogenet 1987; 27: 161–165
Olumi A, Tsai Y, Nichols P, et al. Allelic loss of chromosome 17p distinguishes high grade from low grade transitional cell carcinomas of the bladder. Urol Radiol 1990; 50: 7081–7083
Tsai Y, Nichols P, Hiti A, et al. Allelic loss of chromosomes 9, 11 and 17 in human bladder cancer. Urol Radiol 1990; 50: 44–47
Murphy W, Nagy G, Rao M, et al. “Normal” urothelium in patients with bladder cancer: a preliminary report from the National Bladder Cancer Collaborative Group A. Cancer 1979; 44: 1050–1058
Pode D, Fair W. The development of bladder cancer. AUA Update 1987; 7: 40
Gilbert H, Logan J, Kagan A, et al. The natural history of papillary transitional cell carcinoma of the bladder and its treatment in an unselected population on the basis of histologic grading. J Urol 1978; 119: 488–492
Heney N, Nocks B, Daly J, et al. Ta and T1 bladder cancer: occasion, recurrence and progression. Br J Urol 1982; 54: 152–157
Jakse G, Loidl W, Seeber G, et al. Stage T1, grade 3 transitional cell carcinoma of the bladder: an unfavorable tumor? J Urol 1987; 137: 39–43
Whitmore W Jr. Bladder cancer: future directions in management. In: Proceedings of a Symposium, Marco Island, FL. New York, Wiley, 1986
Skinner D. Current perspectives in the management of high grade invasive bladder cancer. Cancer 1980; 45: 1866–1874
Whitmore W Jr, Batata M, Ghonein M, et al. Radical cystectomy with or without prior radiation in the treatment of bladder cancer. J Urol 1977; 118: 184–187
Greven K, Solin L, Hanks G. Prognostic factors in patients with bladder carcinoma treated with definitive irradiation. Cancer 1990; 65: 908–912
Bloom H, Hendry W, Wallace D, et al. Treatment of T3 bladder cancer: controlled trial of preoperative radiotherapy and radical cystectomy versus radical radiotherapy: second report and review (for the Clinical Trials Group, Institute of Urology). Br J Urol 1982; 54: 136–151
McCullough D, Cooper R, Yeaman L, et al. Neoadjuvant treatment of stages T2 to T4 bladder cancer with cisplatinum, cyclophosphamide and doxorubicin. J Urol 1989; 141: 849–852
Jewett H, Strong G. Infiltrating carcinoma of the bladder: relation of depth of penetration of the bladder wall to incidence of local extension in metastases. J Urol 1946; 55: 366–372
Marshall V. The relation of the preoperative estimate to the pathologic demonstration of the extent of vesicle neoplasms. J Urol 1952; 68: 714–723
Spiessl B, Hermanek P, Sheibe O, et al (eds). TNM-Atlas. Illustrated Guide to the TNM/pTNM-Classification of Malignant Tumours. Berlin, Springer, 1982: 172–179
Skinner D, Tift J, Kaufman J. High dose, short course preoperative radiation therapy and immediate single stage radical cystectomy with pelvic node dissection in the management of bladder cancer. J Urol 1982; 127: 67l–674
Whitmore W, Batata M, Ghoneim M, et al. Radical cystectomy with or without prior irradiation in the treatment of bladder cancer. J Urol 1977; 118: 184–187
Jager N, Radeke H, Adlophs H, et al. Value of intravesical sonography in tumour classification of bladder carcinoma. Eur Urol 1986; 12: 76–84
Hodson N, Husband J, Macdonald J. The role of computed tomography in the staging of bladder cancer. Clin Radiol 1979; 30: 389–395
Jeffrey R, Palubinskas A, Federle M. CT evaluation of invasive lesions of the bladder. J Comput Assist Tomogr 1981; 5: 22–26
Koss J, Arger P, Coleman B, et al. CT staging of bladder carcinoma. AJR 1981; 137: 359–362
Bryan P, Butler H, LiPuma J, et al. CT and MR imaging in staging bladder neoplasms. J Comput Assist Tomogr 1987; 11: 96–101
Fisher M, Hricak H, Tanagho E. Urinary bladder MR imaging. II. Neoplasm. Radiology 1985; 157: 7l–477
Amendola M, Glazer C, Grossman H, et al. Staging of bladder carcinoma: MRI-CT surgical correlation. AJR 1986; 146: 1179–1183
Rholl K, Lee J, Heiken J, et al. Primary bladder carcinoma: evaluation with MR imaging. Radiology 1987; 163: 117–121
Buy J-N, Moss A, Guinet C, et al. MR staging of bladder carcinoma: correlation with pathologic findings. Radiology 1988; 169: 695–700
Kim B, Semelka R, Ascher S, et al. Bladder tumor staging: comparison of contrast-enhanced CT, Tl-and T2-weighted MR imaging, dynamic gadolinium-enhanced imaging, and late gadolinium-enhanced imaging. Radiology 1994; 193: 239–245
Husband J. Review: staging bladder cancer. Clin Radiol 1992; 46: 153–159
Vock P, Haertel M, Fuchs W, et al. Computed tomography in staging of carcinoma of the urinary bladder. Br J Urol 1982; 54: 158–163
Vinnicombe S, Norman A, Nicolson V, Husband JE. Normal pelvic lymph nodes: evaluation with CT after bipedal lymphangiography. Radiology 1995; 194: 349–355
Barentsz J, Jager G, Mugler J III, et al. Staging urinary bladder cancer: value of T1-weighted three-dimensional magnetization prepared rapid gradient-echo and two-dimensional spin-echo sequences. AJR 1995; 164: 109–115
Husband J, Robinson L, Thomas G. Contrast enhancing lymph nodes in bladder cancer: a potential pitfall on CT. Clin Radiol 1992; 45: 395–398
Kellett M, Oliver R, Husband J, et al. Computed tomography as an adjunct to bimanual examination for staging bladder tumours. Br J Urol 1980; 52: 101–106
Weinerman P, Arger P, Pollack H. CT evaluation of bladder and prostate neoplasms. Urol Radiol 1982; 4: 105–114
Golimbu M, Morales P, A1-Askari S, et al. CAT scanning in staging of prostatic cancer. Urology 1981; 18: 305–308
Loening S, Schmidt J, Brown R, et al. A comparison between lymphangiography and pelvic lymph node dissection in the staging of prostatic cancer. J Urol 1977; 117: 752–756
Wajsman Z, Baumgartner G, Murphy G, et al. Evaluation of lymphangiography for clinical staging of bladder tumors. J Urol 1975; 114: 712–714
Levine M, Arger P, Coleman B, et al. Detecting lymphatic metastases from prostatic carcinoma: superiority of CT. AJR 1981; 137: 207–211
Oyen R, Van Poppel H, Ameye F, et al. Lymph node staging of localized prostatic carcinoma with CT and CT-guided fine needle aspiration biopsy: prospective study of 285 patients. Radiology 1994; 190: 315–322
Goitein M, Wittenberg J, Mendiondo M, et al. The value of CT scanning in radiation therapy treatment planning: a prospective study. Int J Radiat Oncol Biol Phys 1979; 5: 1787–1798
Dobbs H, Parker R, Hodson N, et al. The use of CT in radiotherapy treatment planning. Radiother Oncol 1983; 1: 133–141
Rothwell R, Ash D, Thorogood J. An analysis of the contribution of computed tomography to the treatment outcome in bladder cancer. Clin Radiol 1985; 36: 369–372
Allen-Mersh T, Wilson E, Hope-Stone H, et al. Has the incidence of radiation induced bowel damage following treatment of uterine carcinoma changed in the last 20 years? J R Soc Med 1986; 79: 387–390
Johnson R, Carrington B. Review: pelvic radiation disease. Clin Radiol 1992; 45: 4–12
Sugimura K, Carrington B, Quivey J. Postradiation changes in the pelvis: assessment with MR imaging. Radiology 1990; 174: 805–813
Scher H, Norton L. Chemotherapy for urothelial tract malignancies. Semin Surg Oncol 1992; 8: 316–341
Yeoman L, Mason M, Olliff J. Non-Hodgkin’s lymphoma of the bladder: CT and MRI appearances in two cases. Clin Radiol 1991; 44: 389–392
Scott H, Halter S. Oncologic aspects of pheochromocytoma: the importance of follow-up. Surgery 1984; 96: 1061–1066
Weston P, Smith B. Metastatic melanoma in the bladder and urethra. Br J Surg 1964; 51: 78–79
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer Science+Business Media New York
About this chapter
Cite this chapter
Husband, J.E.S. (1998). Computed Tomography of the Bladder. In: Jafri, S.Z.H., Diokno, A.C., Amendola, M.A. (eds) Lower Genitourinary Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1648-3_9
Download citation
DOI: https://doi.org/10.1007/978-1-4612-1648-3_9
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7230-4
Online ISBN: 978-1-4612-1648-3
eBook Packages: Springer Book Archive