Anatomical Pathology Interesting Case Conference

Date of Presentation:6/30/2021

Attending pathologist: Anil Parwani, MD, PhD, MBA

Presented by: Nermeen Chaudhry

Prepared by: Jennifer Vazzano, DO, MS

Organ:Bladder

HISTORY:

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.

GROSS:

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

CASE SUMMARY