PMC5694963_01
Ultrasound image of lesion within urinary bladder.
gr1.jpg
PMC5694963_01_gr1.jpg
fig1
She was recurrence free for nearly 3 years when she was seen to have a 1.4 x 0.9 x 0.6cm echogenic, non-vascular lesion near the uretero-vesical junction on surveillance ultrasound (Fig. 1).
Tumor near left ureteral orifice during cystoscopy.
gr2.jpg
PMC5694963_01_gr2.jpg
fig2
Cystoscopy revealed a 1cm papillary tumor adjacent to the left ureteral orifice (Fig. 2).
Low power view of pathologic slide of tumor with high grade dysplasia.
gr3.jpg
PMC5694963_01_gr3.jpg
fig3
Expert review concluded that the mass was papillary Grade III UCC (Fig. 3) based on a high degree of nuclear pleomorphism, abnormal mitoses, and loss of cell polarity.