—  SPECIALTY CONFERENCE  —

Genitourinary Pathology
7:30 PM, Wednesday, March 26
Marriott Ballroom, Salons 2 and 3




Moderator:

Mahul B. Amin
Emory University Hospital
Atlanta, Georgia


Click on each slide thumbnail image for an enlarged view
Case 1

submitted by:
Robert H. Young
Massachusetts General Hospital
Boston, Massachusetts

Clinical Summary:

A 40-year-old man presented with gross hematuria and at cystoscopy was found to have a bulky bladder tumor. This was transected transurethrally.



Case 1 - Figure A

Case 1 - Figure B

Case 1 - Figure C




Case 2

submitted by:
Victor E. Reuter
Memorial Sloan-Kettering Cancer Center
New York, New York

Clinical Summary:

This 47 year-old male with vague abdominal symptoms was found to have a 3.0 cm mass within the left kidney by abdominal CT scan. At the time of nephrectomy, it became clear that the kidney contained multiple lesions ranging in size from 0.1cm to 3.0 cm.



Case 2 - Figure 1

Case 2 - Figure 2


Case 2 - Figure 3

Case 2 - Figure 4




Case 3

submitted by:
Isabel A. Sesterhenn
Armed Forces Institute of Pathology
Washington, DC

Clinical Summary:

This 58-year-old gentleman presented with a right testicular mass and bilateral hydroceles. A right orchiectomy was performed.



Case 3 - Figure 1

Case 3 - Figure 2A

Case 3 - Figure 2B


Case 3 - Figure 3

Case 3 - Figure 4A


Case 3 - Figure 4B

Case 3 - Figure 5




Case 4

submitted by:
Jonathan Epstein
Johns Hopkins Hospital
Baltimore, Maryland

Clinical Summary:

A 70 year-old man with a history of adenocarcinoma of the prostate Gleason score 7 was treated with neoadjuvant hormone therapy and external beam radiotherapy. Two years following radiation the patient presented with gross hematuria. At cystoscopy, an erythematous lesion was identified and biopsied.



Case 4 - Figure 1

Case 4 - Figure 2


Case 4 - Figure 3

Case 4 - Figure 4




Case 5

submitted by:
Juan Rosai
Istituto Nazionale Tumori
Milano, Italy

Clinical Summary:

60-year-old female with a left renal mass discovered in June 2000, during the course of a post-laparoscopic cholecystectomy sonographic control. The CT scan confirmed the presence of a 4 cm mass in the left kidney. A left radical nephrectomy with para-aortic lymphadenectomy was carried out in October 2000. Gross examination revealed a 3.8x3.5x2.8 cm well-circumscribed solid brown mass in the renal cortex. The renal capsule, pelvis, renal vessels, adrenal gland and lymph nodes were free of tumor.

In a follow-up control carried out in February 2002, a mediastinal mass was detected in the chest x-ray, resulting in compression and anterior displacement of the trachea. The thyroid gland was not involved. This mass was biopsied.

The sections submitted are from the renal tumor removed in 2000.



Case 5 - Figure 1

Case 5 - Figure 2


Case 5 - Figure 3

Case 5 - Figure 4