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Case of the Week

2020-32 / August 10 (Contributors: Amy Leeming and Marie O'Donnell)

A woman in her mid 50s presented with persistent microscopic hematuria and declining renal function.  She was found to have a non-functioning right kidney. The CT appearance was suggestive of upper ureteric urothelial carcinoma with no evidence of distant metastases. The patient underwent elective nephroureterectomy.

Click on the below thumbnails to enlarge photos.

5 photo(s) Updated on: August 06, 2020
  • CK7
  • Progesterone receptor (PR)


1. What is the diagnosis?

a. Synovial sarcoma

b. Mixed epithelial and stromal tumor

c. Multilocular cystic renal neoplasm of low malignant potential

d. Tubulocystic Carcinoma

e. Angiomyolipoma with epithelial cysts (AMLEC)

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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