Publication Abstracts

A Sensitive Bladder: An Atypical Presentation of Cancer in a U.S. Army Pilot

Carter RM, Mansfield JT
Aviat Space Environ Med 1999; 70:335-7

Abstract

Bladder cancer is the most common cancer in the urinary tract, the vast majority (90%) of which are transitional cell carcinomas. A papilloma (grade I) lesion offers an excellent prognosis after excision, though recurrence is possible. The classic sign of bladder cancer is gross, painless hematuria. We report a case of transitional cell papillary carcinoma in an aircrew member with atypical presentation: irritative voiding symptoms without hematuria. With a careful history and physical, and aggressive clinical suspicion, an early diagnosis was made offering an excellent prognosis. The patient, an Army helicopter pilot, returned to flight status with a waiver.

Keywords: carcinoma, papillary carcinoma, transitional cell urinary bladder-transitional cell carcinoma.

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Table of Contents for Volume 70, Number 4 of the ASME journal.