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?
                            
                                - Nephrogenic Adenoma of Bladder
 
                                - Urothelial Papilloma
 
                                - Papillary urothelial neoplasm with low malignant potential
 
                                - Low-grade papillary urothelial carcinomas
 
                               
                            
                          
                       
                         
                        
                         
                            
                            
                            Nephrogenic Adenoma of Bladder