Article: An unuual tumor of the urinary bladder. (Pathologic Quiz Case).(Brief Article)

A 74-year-old woman presented to our institution for recurrent hematuria and dysuria. She had no significant medical history. Cystoscopy showed a 1.1-cm ulcerated tumor located in the dome of the bladder. A transurethral resection was performed, and histologic examination revealed a poorly differentiated invasive carcinoma. The patient underwent a partial cystectomy.

Macroscopically, the resected specimen measured 4 x 2.5 cm. A central ulcerated tumor measuring 1.5 cm was observed. Light microscopic examination of hematoxylineosin-stained sections demonstrated nests, sheets, and cords of undifferentiated malignant cells arranged in syncytia (Figure 1). The tumor ...

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