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Multiparametric magnetic resonance imaging of plasmacytoid urothelial carcinoma with histopathological correlation: A case report
Authors:Koichi Ito  Kazuyuki Ohgi  Yuan Bae  Akira Ishikawa  Koichiro Kimura  Akiyoshi Yamashita  Hiroyuki Yokote  Shunji Tsukuda  Tomohiro Higuchi  Yoshiro Kikuoka  Naoki Kawakami  Masahiko Harada
Institution:aDepartment of Radiology, Japanese Red Cross Medical Center, Tokyo, Japan;bDepartment of Pathology, Japanese Red Cross Medical Center, Tokyo, Japan;cDepartment of Urology, Japanese Red Cross Medical Center, Tokyo, Japan;dDepartment of Diagnostic Radiology, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
Abstract:Plasmacytoid urothelial carcinomas of the bladder are rare, aggressive variants with a poor prognosis. Few reports have described the correlation of histopathological features with multiparametric magnetic resonance imaging findings in the local staging of plasmacytoid urothelial carcinoma. An 82-year-old woman with hematuria was referred to our hospital. Magnetic resonance imaging showed diffuse bladder wall thickening, with different signal intensities in the 2 layers—inner and outer. This case suggests that the presence of diffuse bladder wall thickening and varying signal intensities in the 2 layers could aid in the local staging of plasmacytoid urothelial carcinoma. A thickened bladder wall with restricted diffusion suggests tumor invasion, indicating that the tumor can invade the organ in contact with the thickened bladder wall.
Keywords:Plasmacytoid urothelial carcinoma  Multiparametric magnetic resonance imaging  Diffuse wall thickening  Bladder cancer  Local staging
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