![]() However, the patient refused this radical approach and he chose to attempt additional homeopathic colloidal silver therapy. We performed a second opinion pathology examination of the original specimen from the outside facility the diagnosis, based on this pathology exam, was a spindle cell tumor with associated scar tissue, consistent with solitary fibrous tumor.Ī multidisciplinary team, which included urologists, medical oncologists, radiation oncologists, and pathologists, recommended radical cystoprostatectomy, since the tumor was not amenable to partial cystectomy because of its location. When the patient was admitted to our facility, digital rectal examination revealed an extrinsic palpable mass pressuring the left side this was interpreted as an external compression of the rectum by an enlarged bladder. After receiving this diagnosis, the patient started using strong neodymium magnets that he would place on his abdomen, which he believed helped alleviate some of his symptoms and helped prevent cancer progression. A cystoscopic examination with partial transurethral resection of bladder tumor (TURBT), performed at the referring facility, confirmed the presence of a bladder mass, and pathologic examination of the TURBT specimen yielded a diagnosis of solitary fibrous tumor. The differential diagnosis included a primary urothelial carcinoma, as well as other malignancies, such as lymphoma, sarcoma, and metastatic cancer-and benign pathologies, such as blood clots and bladder stone(s). He had been taking a homeopathic colloidal silver medication for 2 years to try to treat his dysuria, and as a result, his partial thromboplastin time (PTT) was significantly elevated (42 to 60 seconds). He had a 20-pack-year smoking history and a family history significant for bladder cancer in his father. Significant laboratory findings included an elevated prostate-specific antigen (PSA) level of 5.6 ng/mL and a low hemoglobin level of 8.2 g/dL. No evidence of regional adenopathy or other suspicious distant lesion was observed. ![]() There was bilateral, mild ureterectasis, but no definitive hydronephrosis. An outside chest/abdominal/pelvic CT scan with and without contrast showed a large, 8.0 × 6.7 × 7.2–cm, heterogeneous enhancing mass that encompassed most of the left half of the bladder and appeared to be invading through the bladder wall, with possible prostatic invasion (Figure 1). ![]() One month prior to admission, he was seen at an outside clinic for left flank pain dysuria gross hematuria and intermittent episodes of diarrhea and constipation, with small stools. ![]() He experienced some improvement with tamsulosin. He had a 3-year history of worsening urinary incontinence and urgency, for which he had undergone colonoscopy, as well as testing for prostate issues all test results were negative. A 70-year-old man presented at our institution for a second opinion regarding diagnosis of a urinary bladder mass. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |