little an anomalous just doesn't budding right off the surface these things are generally a symptomatic it would take a helluva lot adenoma to produce any symptoms usually associate with a little a cold leading but basically they're they're hidden there the significance is some of these dilemmas time turn of the cancer and that's the news that the other theme of our presentation this afternoon so i won't belabor it at this point try and what about it and you can go back on that chart i gave you the next step down on my cell on the left side of the nine man glandular epithelia this is a cartoon of a benign neoplasm of the lining of the bladder happens to be what we call transitional epithelium very often these sorts of things grow out and i think they this does a good job as a series of finger like projections pointing at you in each one of these is that it is a bit of stromal covered by a layer of neoplastic transitional epithelium and we refer to his finger like projections is painfully so this becomes a papilloma this is a transition hands because it's a transitional epithelium the transitional cell papilloma 