2021-05 / February 01
Contributor: Daniel Athanazio
A female patient in her 80s with clinical suspicion of chronic cystitis and gross hematuria underwent cystoscopy showing multifocal erythema and erosions. There was no previous history of bladder surgery or instrumentation. At microscopy, the transurethral resection specimen showed several papillary lesions - the larger lesion measuring 2.6 mm.
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1. What is the correct diagnosis?
a. Noninvasive papillary urothelial carcinoma
b. Nephrogenic adenoma
c. Clear cell carcinoma
d. Urothelial carcinoma with microcystic variant morphology