Microscopic hematuria
Anemia
Elevated serum level of blood urea nitrogen ( BUN )
Elevated serum level of alkaline phosphatase
Abnormal liver function tests
Elevated urine & serum CEA levels
Urinary cytologic studies for the detection of neoplastic cells
Intravenous urography for the detection of filling defect in the bladder, ureteral obstruction with hydroureteronephrosis and asymmetry or irregularity of the bladder wall
Transurethral, transrectal or external ultrasound
Cystoscopy and biopsy for the detection of tumor
Pelvic C.T. scan