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Bladder

Date of Presentation 2/18/2025
Attending pathologist Anil Parwani, MD, PhD, MBA
Presented by Dr Akansha Deshwal, Dr Himani Kumar, Dr Sambit K Mohanty
Organ Bladder

 

HISTORY:

A male in his 60s with a past medical history of bladder cancer, atrial fibrillation and BPH (benign prostatic hyperplasia).

The patient underwent multiple bladder instrumentation/procedures (TURBT, cystourethroscopy, ureteroscopy, ureteroneocystostomy, instillation of anticarcinogenic agent in the bladder)

Most recent cystoscopy revealed a papillary area over right lateral bladder wall.

CT Urogram showed bladder wall thickening more notable on the right posterior lateral wall.

GROSS:

We received multiple tan pink soft tissue pieces measuring 0.5 x 0.4 x 0.3 cm in aggregate.

What is the most likely diagnosis?

  1. Nephrogenic Adenoma of Bladder
  2. Urothelial Papilloma
  3. Papillary urothelial neoplasm with low malignant potential
  4. Low-grade papillary urothelial carcinomas
Reveal Answer
Nephrogenic Adenoma of Bladder

 

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