PREVIOUS CASES OF THE WEEK 2022
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.
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.
A male patient in his 40s with 19 cm multiloculated cystic mass in his right kidney.
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.
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.
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.
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.
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.
A female in her 60s presented with a 2.4 cm solid and hypovascular left renal mass. She underwent diagnostic biopsy.
A man in his early 40s underwent partial orchiectomy due to a 2.2 cm nodule. Serum tumor markers were within normal limits.
60-year-old-female was found to have an incidental left renal and adrenal mass on imaging.
A male patient in his 70s underwent transurethral resection of the prostate.
This is a prostatectomy specimen from a patient in his early 80s (GG5, pT3b; with 10% involvement of the gland).
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.
A male in his 60s with history of prostate cancer status post radiation treatment. Transurethral resection of the prostate is performed.
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.
A man in his early 50s underwent atotal nephrectomy due to a 4.5cm solid tumor.
A male patient in his 80s with a 1.5 cm polypoid and ulcerated lesion in scrotal skin.
Male in his 60s with 2.7cm renal mass, confined to kidney (pT1a). Partial nephrectomy is performed.