Case Presentations - Department of Pathology, Loyola University Chicago Medical Center, Maywood, Illinois

IRAP APRIL, 2008

cASE 1

CLINICAL HISTORY

82-year-old man with a past medical history of colon cancer presented with gross hematuria in 2005, which originally responded to a couple of courses of antibiotics. He underwent cystoscopy with laser TURP/fulguration of the prostate, for evaluation of his hematuria. A TRUS with prostate biopsy in early 2006 was performed for elevated PSA, which revealed adenocarcinoma, Gleason score 4+4=8. A non-contrast CT showed a thickened bladder and an ill-defined low density lesion in the upper pole of the right kidney with enlarged IVC and peri-caval lymphadenopathy. A CT guided FNA of the renal lesion was performed.

pHOTOMICROGRAPHS:


Figure 1: Cell block, H&E 20x	Figure 2: Smear, Diff-quik 10x

Figure 3: Smear, Papanicolaou stain 20x	Figure 4: Smear, Papanicolaou stain 40x