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We report on 4 patients with bladder cancer detected during pelvic ultrasound for gynecological indications without urinary symptoms. Only 1 of the 4 patients had hematuria. All 4 patients were treated by cystoscopic excisional biopsy and no further operation was required. We stress that the bladder often is forgotten during pelvic ultrasound and that sonography is a sensitive, noninvasive tool to examine the bladder.
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