Slides in the "GU Organ Systems" Category

Subcategories

Adrenal cortical adenoma

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53 year old woman with 4.5cm adrenal mass

Adrenal cortical and medullary hyperplasia, with micropheochromocytoma

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This slide is part 1 of 2 in the series Multiple Endocrine Neoplasia 2A

56 y/o M with MEN2A, FDG-avid liver and left adrenal lesions. Mildly elevated norepinephrine of 100 (nl<80). Left adrenal.

Adrenal cortical carcinoma

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28 year old woman with 10.5 cm adrenal mass.

Adrenal cortical oncocytoma

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49 y/o F referred for evaluation of newly detected left adrenal mass. Because of microscopic hematuria, she underwent evaluation with CT scan of abdomen/pelvis and cystoscopy. CT scan detected a right adrenal mass.

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Adrenal medullary cytomegaly, c/w Beckwith-Wideman syndrome

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Female fetus delivered prematurely at 24 weeks due to premature rupture of membranes and labor, liveborn but died in immediate neonatal period. Autopsy found hemihypertrophy, macroglossia, and a very heavy placenta at 560g. Cystic mass noted in pancreas.

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Angiomyolipoma

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Clinical summary
57 y/o female with a right renal mass

Angiomyolipoma (2)

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Clinical summary
47 y/o female with a renal mass

Benign protate tissue

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60 y/o male with elevated PSA

Carcinoma of the rete testis

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45 yo man. 1.8 cm hard tan testicular mass.

Chromophobe renal cell carcinoma

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Clinical summary
38 y/o female with 13 cm, calcified renal mass

Clear cell renal cell carcinoma with sarcomatoid change

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66 y/o male with a 12 cm renal mass

Clear cell renal cell carcinoma, focal Fuhrman grade 4/4

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66 y/o male with a 12 cm renal mass

Clear cell renal cell carcinoma, Fuhrman grade 2/4

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Clinical summary
50 y/o male with a renal mass

Cystitis cystica AND radiation-induced epithelial changes

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68yo man, muscle-invading TCC, treatment & chemo.

Cystitis glandularis, usual-type AND urothelial hyperplasia

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87yo male with bladder CA.

Cystitis glandularis, usual-type, with reactive cytologic changes,

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History of muscle invasive bladder CA on chemo/radiation.

Endometriosis

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Bladder lesions

Fibroepithelial polyp, ureteral

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Clinical summary
32 y/o male with a left ureteral obstruction

Ganglioneuroma

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Clinical summary
1 y/o female with 15 watery stools qD.

Granulomatous orchiitis, non-specific

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Male in his 70’s with a testicular mass

Inverted papilloma

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73 y/o woman with bladder mass

Metastatic carcinoma, c/w lung primary (adrenal)

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49 year old man with 3.1 cm adrenal gland mass

Mixed germ cell tumor, diffuse embryoma type (biphasic embryonal carcinoma and yolk sac tumor)

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21 y/o man with a testicular mass

Mixed germ cell tumor, mostly teratoma with focal seminoma

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31 y/o male with a left testicular mass

Mixed germ cell tumor, mostly teratoma with focal yolk sac tumor and embryonal carcinoma

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21 y/o man with a testicular mass

Mixed germ cell tumor, seminoma, embryonal carcinoma, and teratoma

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30 y/o male with a 1.5 cm solid testicular mass

Nephroblastoma (Wilm’s tumor)

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This slide is part 1 of 2 in the series Nephroblastoma

2 y/o male with a 17 cm abdominal mass.

Findings on this slide include epithelial and blastemal components as well as differentiated mesenchymal componants (rhabdomyomatous).

Nephrogenic adenoma

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History of bladder CA.

Nephrogenic adenoma AND Papillary TCC, grade 2

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96 yo M. TUR bladder lesions.

Oncocytoma

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3-5 cm well circumscribed dark brown renal mass.

Oncocytoma (2)

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62 yo M. Well circumscribed tan-brown renal mass, 1.5 cm.

Papillary transitional cell carcinoma, grade 1 of 3, non-invasive

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Clinical summary
57 y/o male with a ureteral mass

Papillary transitional cell carcinoma, grade 1 of 3, non-invasive, focally arising in papillary urothelial hyperplasia

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73yo male with istory of bladder cancer s/p BCG treatment and interferon.

Papillary transitional cell carcinoma, grade 1/3, non-invasive.

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History of bladder cancer.

Papillary transitional cell carcinoma, grade 2/3. non-invasive (2)

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67yo female with bladder CA.

Papillary transitional cell carcinoma, grade 2/3. non-invasive.

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Bladder tumor.

Papillary transitional cell carcinoma, grade 3/3, non-invasive

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Status-post BCG, bladder cancer. Status post nephroureterectomy.

Pheochromocytoma

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54 y/o female with an adrenal mass

Postoperative spindle cell nodule

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Elderly man with friable bladder mass. TURB.

Primary pigmented nodular adrenal disease (PPNAD), c/w Carney complex

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29 y/o F c h/o Carney complex diagnosed on genetic testing with initial atrial myxoma presents for bilateral adrenalectomy for cure of ACTH-independent Cushing’s syndrome.

Prostatic adenocarcinoma, Gleason score 3+3 = 6 of 10

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73 y/o male with elevated PSA

Prostatic adenocarcinoma, Gleason score 3+4 = 7 of 10

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65 y/o male with elevated PSA

Prostatic adenocarcinoma, Gleason score 4+4 = 8 of 10

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60 y/o male with elevated PSA

Prostatic adenocarcinoma, Gleason score 5+4 = 9 of 10

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60 y/o male with elevated PSA

Pseudocarcinomatous urothelial proliferation

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Hematuria and right hydronephrosis of unknown etiology.

Seminoma, with syncytiotrophoblastic giant cells

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38 y/o male with a testicular mass

Sertoli cell tumor of testes, NOS

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45 yo man with 1.5 cm firm tan-white testicular mass.

Sertoli cell tumor, NOS (2)

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25 yo. 1.1 cm white testicular nodule.

Small cell neuroendocrine carcinoma of bladder

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Clinical summary
69 y/o male with a bladder mass

Spermatocytic arrest, primary spermatocyte stage

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33 yo M with infertility. Testicular biopsies.