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Suffering from hematuria, hb lower than normal, mass accumulation in bladder, removed by surgery. Diagnosis?

Mr. Tapan Dutta is from Kolkata. He is now in Bangalore for his treatment. He is suffering from hematuria for the last 2 months or so. Blood examination revealed some disorder in RBC. The blood report says that the RBC is predominantly normocytic, normochromic, polychromatic and with anisocytosis . haemoglobin is lower than the normal (7.5 gm/dL) WBC and platelets seem to be in normal amount. Recently he has a polypoid mass accumulation in urinary bladder and was removed by surgery. So what is your diagnosis? Is it due to kedney problem or Bone marrow problem?
Asked On : Wed, 31 Oct 2012
Answers:  1 Views:  92
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General & Family Physician 's  Response
Sep 2012
Hello, welcome to HCM, I am Dr. Das
Firstly, the abnormality of red blood cells which you have mentioned indicates normocytic normochromic anaemia.
This can occur from many conditions of which most common is hemorrhage. In your case , hematuria is the causative agent. Normal wbc and platelet exclude any malignant condition of blood. But you did not give us any bonemarrow report.
Hematuria can occur from many condition but in you case it is the neoplastic condition present in bladder.
So, my diagnosis is the urinary bladder problem.

Answered: Fri, 2 Nov 2012
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