HISTORY:
                    Obese Male in his 40’s
                    No history of Smoking
                    Cystourethroscopy w/ Fulguration/resection Lesion
                     
                 
                   
GROSS:
                    
                 
                
                
                
                 
                 
                  
                
                     
                  
                        
                 
                     
                    
     
                        
                 
     
                  
       
                     
                           
                
                    
                 
                            What is the most likely diagnosis?
                            
                                - Low-grade papillary urothelial carcinoma
 
                                - Nephrogenic adenoma
 
                                - Plasmacytoid TCC Bladder
 
                                - Pleomorphic giant cell carcinoma of bladder
 
                               
                            
                          
                       
                         
                        
                         
                            
                            
                            Pleomorphic giant cell carcinoma of bladder