Pseudomass of the bladder neck after prostatectomy: report of two cases.
The authors reviewed ultrasonographic (US) images, cystoscopic findings, and biopsy results at the vesicourethral anastomosis in two patients suspected of having local recurrence after radical prostatectomy. A focal, masslike bulge was identified with US at the posterior aspect of the bladder neck, just above the anastomosis. This bulge mimicked the appearance of local recurrence of cancer; however, diagnostic studies, biopsy results, and clinical follow-up failed to demonstrate recurrent cancer. A review of the surgical technique led the authors to conclude that a pseudomass at the vesicourethral anastomosis may result from focal infolding of normal bladder mucosa.
Halpern
Ethan J
EJ
Department of Radiology, Jefferson Prostate Diagnostic Center, Thomas Jefferson University, 132 S 10th St, Philadelphia, PA 19107-5244, USA. ethan.halpern@mail.tju.edu
Gomella
Leonard G
LG
D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D001743:Urinary Bladder / Q000473:pathology*
D017430:Prostate-Specific Antigen