A 24 years old married lady presented with recurrent attacks of irritative lower urinary tract symptoms & painless total hematuria twice over 1 month period. The physical examination was unremarkable. Urinalysis revealed 3-5 RBCs/HPF and pus cells 3-5/HPF Uric acid crystal + Epith. Cells +. Hemoglobin was 11.7 gm/dL and serum creatinine was 0.9 mg/dL. Ultrasound study of the urinary tract revealed a 1.5x2.5 cm solid SOL arising from the left posterior wall of the urinary bladder and upper tracts were normal.
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