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Diagnostic considerations in urinary bladder wall calcification.

H M Pollack, M P Banner, L O Martinez

    AJR. American Journal of Roentgenology
    |April 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Urinary bladder wall calcification, though uncommon, has several causes including schistosomiasis and bladder cancer. Diagnosis requires a combination of clinical evaluation, imaging, and often cystoscopy with biopsy for confirmation.

    Area of Science:

    • Radiology
    • Urology
    • Pathology

    Background:

    • Urinary bladder wall calcification is an uncommon radiographic finding.
    • Several distinct conditions can lead to calcification of the bladder wall.

    Purpose of the Study:

    • To present a series of patients with bladder wall calcification.
    • To discuss the various etiologies of bladder wall calcification.
    • To outline diagnostic approaches for bladder wall calcification.

    Main Methods:

    • Retrospective review of 19 patients with radiographically visible bladder wall calcification.
    • Analysis of clinical history, physical examination, laboratory studies, and radiographic findings.
    • Discussion of reported causes and comparison with the patient series.

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    Main Results:

    • The series included patients with schistosomiasis (8), primary bladder carcinoma (6), encrustation cystitis (2), amyloidosis (1), cyclophosphamide-induced cystitis (1), and tuberculosis (1).
    • Radiographic appearance alone is often insufficient for definitive diagnosis.
    • A comprehensive diagnostic approach is necessary.

    Conclusions:

    • Bladder wall calcification has a limited differential diagnosis.
    • Accurate diagnosis typically requires integrating clinical information, laboratory results, imaging, and cystoscopy with biopsy.
    • Cystoscopy with biopsy is crucial for confirming the diagnosis and excluding malignancy.