Palpable mass
In advanced cases of bladder cancer, patients may notice a mass that can be felt over the bladder. When it is not felt by the patient, it may be encountered during a physical examination performed by a doctor. This symptom is not common but can be seen in patients with an advanced stage of bladder carcinoma. A palpable mass is usually a sign of a very large tumor, and it is often associated with obstruction of the urinary tract, pain symptoms, lower extremity edema, and other signs of alterations.