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Case of the Week


A 55 year old male had neurogenic bladder secondary to spinal cord injury and paraplegia. The patient performs self-catheterization for urination. He had history of repeated urinary tract infections with cultures showing Klebsiella and E. coli infections. He complained of bleeding during catheterization two months prior to the presentation. A cystoscopy showed diffuse erythema in the dome of the bladder and a nodule in the anterior wall of the bladder. A biopsy of the nodule was performed.

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5 photo(s) Updated on: October 29, 2019


1. What is the correct diagnosis?

     a.  Urothelial carcinoma with lamina propria invasion

     b.  Malakoplakia

     c.  Melanoma

     d.  Granulomatous cystitis


About GUPS

The Genitourinary Pathology Society (GUPS) was formed with the vision of advancing the care of patients with urologic diseases through enhancements of best practices, research, and education in the subspecialty of Urological Pathology.

GUPS is an official Companion Society of the United States and Canadian Academy of Pathology (USCAP).



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