Imaging of Urothelial Tumors from Calyx to Bladder
PDF

Invited Review

Imaging of Urothelial Tumors from Calyx to Bladder

Turk Radiol Semin 2024;12(2):163-174 DOI: 10.4274/trs.2024.24137
,
PDF
Permissions

Abstract

Urothelial cancers are the most common neoplasms of the urothelium. It is accepted that they develop due to exposure to carcinogens and toxins. In addition, the existence of genetic predisposition has also been shown. Urothelial tumors are most commonly observed in the bladder and in the older age group. Patients most frequently present with hematuria. Abdominal ultrasonography, computed tomography (CT), CT urography and magnetic resonance imaging are used to guide the diagnosis. In this review, the advantages and limitations of imaging techniques for urothelial neoplasms originating from the upper urinary tract, ureter and bladder are compared; new imaging techniques are also included.

Keywords: Cancer, calyx, bladder, ureter, urothelium, imaging

References

1

Vikram R, Sandler CM, Ng CS. Imaging and staging of transitional cell carcinoma: part 1, lower urinary tract.AJR Am J Roentgenol. 2009; 192: 1481-7.

2

Dunnick NR, Sandler CM, Newhouse JH, Amis ES, Cohan RH. Textbook of Uroradiology. Lippincott Williams & Wilkins. 2012. ISBN:1451109164.

3

Alessandrino F, Ghaith O, Williams K, Sonpavde GP, Silverman SG, Shinagare AB. Advanced urothelial cancer: a radiology update.Abdom Radiol (NY). 2019; 44: 3858-73.

4

Leder RA, Dunnick NR. Transitional cell carcinoma of the pelvicalices and ureter.AJR Am J Roentgenol. 1990; 155: 713-22.

5

Martingano P, Cavallaro MFM, Bozzato AM, Baratella E, Cova MA. CT urography findings of upper urinary tract carcinoma and its mimickers: a pictorial review.Medicina (Kaunas). 2020; 56: 705.

6

Hu T, You S. Overall and cancer-specific survival in patients with renal pelvic transitional cell carcinoma: a population-based study.Front Med (Lausanne). 2022; 8: 719800.

7

Dyer RB, Chen MY, Zagoria RJ. Classic signs in uroradiology.Radiographics. 2004; 24 (Suppl 1): S247-80.

8

Prando A, Prando P, Prando D. Urothelial cancer of the renal pelvicaliceal system: unusual imaging manifestations.Radiographics. 2010; 30: 1553-66.

9

Browne RF, Meehan CP, Colville J, Power R, Torreggiani WC. Transitional cell carcinoma of the upper urinary tract: spectrum of imaging findings.Radiographics. 2005; 25: 1609-27.

10

Sudah M, Masarwah A, Kainulainen S, Pitkänen M, Matikka H, Dabravolskaite V, et al. Comprehensive MR urography protocol: equally good diagnostic performance and enhanced visibility of the upper urinary tract compared to triple-phase CT urography.PLoS One. 2016; 11: e0158673.

11

Doherty G. Current Diagnosis and Treatment Surgery Thirteenth Edition. McGraw-Hill Medical ISBN: 0071635157.

12

Daniels RE. The goblet sign.Radiology. 1999; 210: 737-8.

13

Wentland AL, Desser TS, Troxell ML, Kamaya A. Bladder cancer and its mimics: a sonographic pictorial review with CT/MR and histologic correlation.Abdom Radiol (NY). 2019; 44: 3827-42.

14

Stein JP, Lieskovsky G, Cote R, Groshen S, Feng AC, Boyd S, et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients.J Clin Oncol. 2001; 19: 666-75.

15

Pecoraro M, Takeuchi M, Vargas HA, Muglia VF, Cipollari S, Catalano C, et al. Overview of VI-RADS in bladder cancer.AJR Am J Roentgenol. 2020; 214: 1259-68.