PMC3556557_01
(A) A representative section of the urinary bladder shows high-grade urothelial carcinoma. The tumor cells are arranged in small nests or cords and discontinuously invade into deep portions of the lamina propria (H&E, x100). (B) The brain mass of the cerebellum shows metastatic carcinoma with tumor cells in a broad cord or sheet arrangement, identical to a urinary bladder tumor (H&E, x200). (C) The excisional biopsied skin the abdomen shows individually scattered and nested pleomorphic tumor cells in the dermis, which is consistent with metastatic urothelial carcinoma (H&E, x200).
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F1
Postoperative pathological results revealed urothelial carcinoma of stage T1N0M0 (Fig. 1A). A metastasectomy was performed and the mass proved to be metastatic urothelial carcinoma (Fig. 1B). He underwent excisional biopsy of the skin lesions and the final histopathologic report was consistent with metastatic urothelial carcinoma (Fig. 1C).
Computed tomography shows a 3x4 cm sized mass (arrow) in the left cerebellar hemisphere.
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F2
Brain CT revealed a 3x4 cm sized mass in the left cerebellar hemisphere (Fig. 2).
Clinical pictures show multiple 1 cm sized erythematic nodular abdominal skin lesions.
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F3
Physical examination revealed multiple, 1-cm, erythematic nodular abdominal skin lesions (Fig. 3).