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Case of the Week


2019-20 / JULY 1 (CONTRIBUTOR: JOHN CHEVILLE)

CASE HISTORY



35-year-old female presents with hematuria.   She has a history of hypertension.  Cystoscopy revealed a 3 cm bladder mass and transurethral resection was performed.   The tumor is positive for GATA3 and synaptophysin.



Click on the below thumbnails to enlarge photos.

4 photo(s) Updated on: June 27, 2019


Quiz

1. What ancillary testing should be done?

              a.       Immunostain for fumarate hydratase

              b.      Immunostains for DNA repair enzymes

              c.       Immunostain for SDH B

              d.      Immunostain for carbonic anhydrase


2. What feature is most predictive of malignancy?

              a.      The presence or development of metastases

              b.      Extension into muscularis propria

              c.       Clinical symptoms

              d.      Patient age








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