Radiology Case Reports (Jun 2022)

Multiparametric magnetic resonance imaging of plasmacytoid urothelial carcinoma with histopathological correlation: A case report

  • Koichi Ito, MD,
  • Kazuyuki Ohgi, MD,
  • Yuan Bae, MD,
  • Akira Ishikawa, MD,
  • Koichiro Kimura, MD,
  • Akiyoshi Yamashita, MD,
  • Hiroyuki Yokote, MD,
  • Shunji Tsukuda, MD,
  • Tomohiro Higuchi, MD,
  • Yoshiro Kikuoka, MD,
  • Naoki Kawakami, MD,
  • Masahiko Harada, MD

Journal volume & issue
Vol. 17, no. 6
pp. 2155 – 2161

Abstract

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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.

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