case_images: PMC5237721_01
case_images: 3.2 x 1.7 x 2.7 cm mass in the anterior wall of the urinary bladder.
case_images: CRIM2017-4812453.001.jpg
case_images: PMC5237721_01_CRIM2017-4812453.001.jpg
case_images: fig1
case_images: Caucasian male with a past medical history of hypertension, type II diabetes mellitus, chronic kidney disease stage IV on peritoneal dialysis, stroke, and congestive heart failure presented to an outside clinic with asymptomatic hematuria. CT scan showed a 3.2 x 1.7 x 2.7 cm mass in the anterior wall of the urinary bladder at that time (Figure 1).
case_images: (a) Dark tumor cells fill stroma, splaying pink smooth muscle bands to the left (H&E, 100x). (b) Tumor nuclei are irregular, with scant cytoplasm, with some showing spots of nuclear clearing suggestive of salt and pepper, with some tumor cells juxtaposed to suggest molding, and with many pyknotic nuclei, indicative of a rapidly growing tumor.
case_images: CRIM2017-4812453.002.jpg
case_images: PMC5237721_01_CRIM2017-4812453.002.jpg
case_images: fig2
case_images: Dark tumor cells filled the tissue stroma, splaying pink smooth muscle bands (H&E, 100x) (Figure 2(a)). Some cells were juxtaposed to suggest molding, with many cells containing pyknotic nuclei, indicative of a rapidly growing tumor (Figure 2(b)).