Anatomical Pathology Interesting Case Conference

Date of Presentation:07/17/2026

Attending pathologist: Anil Parwani, MD, PhD, MBA

Presented by: Bhavi Desai, MBBS

Prepared by: Bhavi Desai, MBBS

Organ:Bladder

HISTORY:

A female patient in her 70s presented with difficulty passing urine and gross hematuria for 1 month.

The patient subsequently underwent cystoscopy with bladder biopsy for evaluation of the lesion.

Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue

What is the most likely diagnosis?

  1. Sarcomatoid Urothelial Carcinoma
  2. Metastatic carcinoma
  3. Adenocarcinoma
  4. Inflammatory Myofibroblastic Tumors (IMT)
Sarcomatoid Urothelial Carcinoma

Case Summary