Transitional cell carcinoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Suveenkrishna Pothuru, M.B,B.S. [2]

Common physical examination findings of transitional cell carcinoma of bladder include cachexia, pallor, and a pelvic mass may be palpated.

• Complete physical examination
• Digital rectal examination in men
• Bimanual examination of the vagina and rectum in women.

• Cachexia

• Hyperthermia

• Pallor

• A pelvic mass may be palpated
• Swelling in the scrotum or vulva

• Swelling in the lower extremities

Induration of the prostate gland(if the bladder cancer involves the bladder neck and invades the prostate) An attempt to palpate the base and lateral walls of the bladder should be made looking for induration or fixation.

• Inguinal adenopathy +/-

• May reveal the presence of substantially enlarged para-aortic lymph nodes or hepatic metastases.

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