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A Large Bladder Tumor Covered With a Thick "Shell" of Necrotic Material: Misdiagnosis of a Patient With Spina Bifida.

Medicine (Baltimore)

April 2016

From the Department of Urology, Peking University Shougang Hospital (LW, ZZ, D-LP, X-HZ, N-CL, Y-QN); Peking University Wu Jieping Urology Center (LW, ZZ, D-LP, X-HZ, N-CL, Y-QN); and Department of Pathology, Peking University Shougang Hospital, Peking University Health Science Center (MG), Beijing, China.

Article Synopsis
  • A rare case of bladder tumor in a 61-year-old female with spina bifida and neurogenic bladder, initially presenting as an unexplained "well-filled" bladder.
  • A cystoscopy revealed a large mass, initially mistaken for an infectious necrotic mass, which later showed signs of transitional cell carcinoma.
  • The case highlights the need for regular screenings in spina bifida patients to detect atypical bladder tumors early for better treatment outcomes.
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