Concluded Case

Bladder biopsy

60 yrs male difficulty in micturition

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Concluded answer

section shows thickened urothelial lining & denuded in a patchy manner. Dense mixed inflammatory infiltrate noted in subepithelial region. At places single broad papillae noted with increased thickness with maintained polarity. No mitosis seen. Impression: Papillary urothelial neoplasm with low malignant potential. With features of cystitis. Advice: Correlate with cystoscopic findings

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Exophytic lesion with papilloma like fronds.. and fibrovascular cores Multilayered thickened urothelium.. more than 8 cell layers. Dominance of orderly and oriented urothelial cells... with mild atypiaand cellular /nuclear pleomorphism in basal layers. Intact basement membrane No stromal invasion Muscle tissue not identified in the images sent No LVI. PUNLMP. Dd. Papillary urothelial neoplasm.. low grade(ISUP/WHO)

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section shows thickened urothelial lining & denuded in a patchy manner. Dense mixed inflammatory infiltrate noted in subepithelial region. At places single broad papillae noted with increased thickness with maintained polarity. No mitosis seen. Impression: Papillary urothelial neoplasm with low malignant potential. With features of cystitis. Advice: Correlate with cystoscopic findings

low grade papillary urothelial carcinoma invasive

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