Case presentation A 69-year-old heavy-smoker woman was admitted to the ED for the onset of gross hematuria. Examination Her metabolic panel and complete blood count were normal. Urinalysis showed more than 100 RBCs per high power field and 5-10 WBCs per high power field. The urine culture was negative, and the urine cytologic test did not show malignant cells. CT urogram showed a filling defect in the right ureter.
Bladder examination with a rigid cystoscopy revealed a papillary mass that protruded through the right ureteral orifice during ureteral peristalsis. Further examination revealed that the mass was 4 cm in length with a cylindrical stalk of 5 mm in diameter. A biopsy was performed, and the sample was tested for papillary urothelial carcinoma. Do you think this is a case of papillary urothelial carcinoma? *This Case Challenge is from the Editorial Team of Docplexus and is meant…
