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A 27-year-old male asked:

Can bladder cancer be seen on ultrasound? if u/s shows no tumor, should further testing be done on a child with gross terminal hematuria? not a uti.

3 doctor answers3 doctors weighed in
Dr. Tarik Hadid
Internal Medicine - Hematology & Oncology 20 years experience
Maybe: Ultrasound does not always show bladder cancer. Bladder cancer is very rare in children unless is participated by parasitic infection which is very rare in the u. S. Yet, the cause hematuria should be determined(e.g. Stone, parasitic infection such as schistosoma). Cystoscopy may sometimes be necessary.
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Dr. James Krick
Urology 38 years experience
Bladder cancer: Bladder cancer generally cannot be seen on ultrasound. Further, bladder cancer is really not part of the differential diagnosis for gross hematuria in the pediatric population. There are certainly other tests that should be performed by a urologist (or pediatrician or pediatric urologist).
Created for people with ongoing healthcare needs but benefits everyone.
Dr. James Lin
A Verified Doctoranswered
Urology 53 years experience
Here are some ...: Ultrasound study only gives a gross rough imaging assessment with low sensitivity for small lesions. So, it is an absolute saying no bladder cancer. Terminal gross hematuria suggests its origin from the urethra, especially prostate urethra. So, a cystourethroscopy under anesthesia is needed. But, how far an evaluation should go for? It should be individualized. So, ask and talk with Doc timely.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 24, 2015

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