Urology

Read e-book online Bladder Biopsy Interpretation PDF

By Jonathan I. Epstein

Written by means of 3 eminent professionals in urologic pathology, this quantity is a pragmatic, thorough, and fantastically illustrated consultant to bladder biopsy interpretation. It starts off with common anatomy and variations of ordinary histology after which offers complete, present details on all lesions, tumors, and tumor-like lesions. Tables are incorporated to assist in differential analysis. insurance contains the most recent global well-being association and foreign Society for Urologic Pathology type procedure for bladder urothelial neoplasms.

A bound-in CD-ROM includes over 800 full-color images overlaying the whole spectrum of universal and infrequent lesions, and incorporates a quiz mode that's perfect for board examination preparation.

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1. Papillary urothelial hyperplasia. FIG. 2. Papillary urothelial hyperplasia. 37 38 BLADDER BIOPSY INTERPRETATION FIG. 3. Dysplasia with architecture of papillary urothelial hyperplasia (some would regard as low-grade papillary urothelial cancer). Less commonly, the overlying urothelium in a lesion with the architectural pattern of papillary hyperplasia reveals varying degrees of cytologic atypia ranging from dysplasia to CIS (3) (Fig. 3) (efigs 191–193). One hypothesis is that, in some cases, CIS or dysplasia may evolve into atypical papillary hyperplasia, with further progression to high-grade papillary cancer.

Insurance) implications, but neither is a benign FIG. 14. Papillary urothelial neoplasm of low malignant potential. PAPILLARY UROTHELIAL NEOPLASMS 47 FIG. 15. 14. FIG. 16. Papillary urothelial neoplasm of low malignant potential. 48 BLADDER BIOPSY INTERPRETATION FIG. 17. 16. FIG. 18. Papillary urothelial neoplasm of low malignant potential. PAPILLARY UROTHELIAL NEOPLASMS 49 FIG. 19. 18. , papilloma) diagnosed, so the patient might be followed up more closely. The prognoses of these lesions and other papillary tumors in the WHO(2003)/ISUP system are discussed later.

Dysplasia with architecture of papillary urothelial hyperplasia (some would regard as low-grade papillary urothelial cancer). Less commonly, the overlying urothelium in a lesion with the architectural pattern of papillary hyperplasia reveals varying degrees of cytologic atypia ranging from dysplasia to CIS (3) (Fig. 3) (efigs 191–193). One hypothesis is that, in some cases, CIS or dysplasia may evolve into atypical papillary hyperplasia, with further progression to high-grade papillary cancer. This process is analogous to papillary hyperplasia without cytologic atypia progressing to low-grade papillary urothelial neoplasms.

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