Date of Presentation:6/30/2021

Attending pathologist: Anil Parwani, MD, PhD, MBA

Presented by: Nermeen Chaudhry

Prepared by: Jennifer Vazzano, DO, MS



A 55 year old female with history of kidney disease and right ureteral strictures presented with nausea and general malaise, and was found to have worsening renal failure. CT Abdomen/Pelvis in 2019 with bladder wall thickening, now ultrasound showed a bladder mass. Transurethral resection of bladder tumor (TURBT) reveals 5 cm sessile bladder tumor at right posterior wall and right hemitrigone.


What is the most likely diagnosis?

  1. Malignant renal cell carcinoma
  2. Malakoplakia
  3. Xanthogranulomatous pyelonephritis
  4. Granular cell tumor