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PREVIOUS CASES OF THE WEEK 2022

2022-01/January 3

A woman in her mid-60s with history of uterovaginal prolapse, status post hysterectomy, was incidentally noted to have a patent urachus at the bladder dome on cystourethroscopy. A CT scan showed a partially distended urinary bladder with a small vesicourachal diverticulum and focal calcifications at its apex. Partial cystectomy with excision of the entire urachus was performed. Gross examination showed a 3.2 cm cystic nodule with calcified cut surface. Images from the partial cystectomy are shown below.


2022-02/January 10

A man in his 30’s presented with 3 days of abdominal pain, nausea, and vomiting. CT imaging revealed a 14 cm ill-defined right retroperitoneal mass, a 2 cm left pulmonary nodule, and a 10 cm right testicular mass. Serum alpha-fetoprotein (AFP) was elevated, and beta-HCG and LDH were normal. He underwent biopsy of the retroperitoneal mass.


2022-03/January 17

A male patient in his 40s with 19 cm multiloculated cystic mass in his right kidney.


2022-04/January 24

A patient in his early 60s underwent prostatectomy, which showed a Grade Group 2 (Gleason 3+4=7) tumor, stage pT3a. The following images show focal areas of the tumor.


2022-05/January 31

A man in his mid-50s presented with dysuria and gross hematuria. Imaging revealed a 14.9 x 10.0 cm mass essentially replacing prostate and seminal vesicles, and invading the urinary bladder. After biopsy confirmation of malignancy, a cystoprostatectomy was performed to completely remove the tumor. On pathologic gross examination, the tumor had a fleshy, tan-white cut surface with central necrosis.


2022-06/February 7

A 76-year-old man with an incidentally renal tumor in the lower pole of the right side of a horseshoe kidney was submitted to a partial nephrectomy.


2022-07/February 14

During follow-up for urothelial carcinoma of the upper urinary tract, a man, aged 79 years, underwent a cystoscopy and incidentally discovered an exophytic blueish area on the bladder dome, covered by flat and smooth urothelium. The urologist performed an en-bloc resection of the lesion.


2022-08/February 22

Male in his 20s underwent left orchiectomy due to cystic tumor measuring 1.8 cm. Microscopic examination revealed epidermoid cyst. Additionally an incidental 2 mm nodule was found in the rete testis.


2022-09/February 28

A female in her 60s presented with a 2.4 cm solid and hypovascular left renal mass. She underwent diagnostic biopsy.


2022-10/March 7

A man in his early 40s underwent partial orchiectomy due to a 2.2 cm nodule. Serum tumor markers were within normal limits.


2022-11/March 14

60-year-old-female was found to have an incidental left renal and adrenal mass on imaging.


2022-12/March 21

A male patient in his 70s underwent transurethral resection of the prostate.


2022-13/March 28

This is a prostatectomy specimen from a patient in his early 80s (GG5, pT3b; with 10% involvement of the gland).


2022-14/April 4


A male in his 40s with the incidental finding of a right renal mass on CT angiography of the abdomen during cardiac surgery work up. He underwent right open partial nephrectomy which showed a 2.2 cm, well-circumscribed, solid, tan-white to yellow tumor.


2022-15/April 11

A male in his 60s with history of prostate cancer status post radiation treatment. Transurethral resection of the prostate is performed.


2022-16/April 18

A male in his 20s, presented with a rapidly enlarging painless right testicular mass. On scrotal ultrasound, there was a 6.8 cm well-circumscribed mass compressing the adjacent testicle. ALP was minimally elevated, while LDH and bHCG were within normal limits.


2022-17/April 25

A man in his early 50s underwent atotal nephrectomy due to a 4.5cm solid tumor.


2022-18/May 2

A male patient in his 80s with a 1.5 cm polypoid and ulcerated lesion in scrotal skin.


2022-20/May 16

Male in his 60s with 2.7cm renal mass, confined to kidney (pT1a). Partial nephrectomy is performed.



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).

Contact

gupathologysociety@gmail.com


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