WSI23-45: Urethra

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Request type Study

Subspecialty Genitourinary

Set Genitourinary

Topic Urethra

Presenter Sadow, Peter M.,MD, PhD

Date and time Saturday, April 1, 2023 12:00 PM

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Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	67 year old male with small papillary tumors in penile urethra s/p TURP for bladder outlet obstruction	Si787	Squamous papilloma with reactive atypia
Case 2	28 year old female with vaginal mass	Si787	Pigmented PEComa. + HMB45 • +Melan A • +Des. - S100 • -SMA
Case 3	45 year old male with history of seminoma 12 years prior as well as phosphaturic mesenchymal tumor of the femur now presents with a right retroperitoneal mass	Si787	Anastomosing hemangioma (2.9 cm) of the genitourinary system
Case 4	55 year old female with h/o carcinosarcoma of the uterus • now with pelvic clot versus tumor	Si787	High grade malignant epithelioid neoplasm c/w involvement by the patient's known carcinosarcoma. Focal p53+. Focal CK7+
Case 5	71 year old male with 9.5 cm right posterior chest wall mass. Also with 10 cm mediastinum mass	Si787	Eosinophilic and clear cell malignant neoplasm with focal papillary architecture c/w metastatic renal cell carcinoma • clear cell type. + CD10 • + PAX8 • + RCC
Case 6	59 year old male s/p inguinal hernia repair. Noticed left groin mass. By PET • enlarged • bulky • hypermetabolic nodes it the left external iliac distribution. No hx of cutaneous lesions or other carcinoma.	Si787	Non-kertinizing HPV-related squamous cell carcinoma with comedo-type necrosis metastatic to a lymph node (7.0 cm) with other positive nodes. Primary differential is genital vs oropharyngeal
Case 7	30 year old male with an enlarging left epididymal mass	Si787	Papillary cyst adenoma with clear cell features. PAX8+ • RCC-.
Case 8	67 year old male with small papillary tumors in penile urethra s/p TURP for bladder outlet obstruction.	Emw8	Squamous papilloma with reactive atypia.
Case 9	19 year old male with left testicular mass.	Emw8	Malignant mixed germ cell tumor 10.1 cm. 80% yolk sac tumor. 20% teratoma. + LVI pT2 NX M16
Case 11	18 year old hockey player with abdominal discomfort and CT scan to r/o colitis found to have 9 mm right-sided testis mass.	Emw8	Epithelioid hemangioma (0.9 cm).
Case 12	45 year old male with history of seminoma 12 years prior as well as phosphaturic mesenchymal tumor of the right femur now presents with a right retroperitoneal mass.	Emw8	Anastomosing hemangioma (2.8 cm) of the genitourinary system.
Case 13	55 year old female with h/o carcinosarcoma of the uterus • now with pelvic clot versus tumor.	Emw8	High grade malignant epithelioid neoplasm c/w involvement by the patient's known carcinosarcoma. Focal p53+ Focal CK7+
Case 14	71 year old male with 9.5 cm right posterior chest wall mass. Also with10 cm mediastinum mass.	Emw8	Eosinophilic and clear cell malignant neoplasm with focal papillary architecture c/w metastatic renal cell carcinoma • clear cell type. + CD10 + PAX8 + RCC
Case 15	59 year old male s/p B inguinal hernia repair. Noticed L groin mass. By PET • enlarged • bulky • hypermetabolic nodes in the L external iliac distribution. No history of cutaneous lesion or other carcinoma.	Emw8	Non-keratinizing HPV-related squamous cell carcinoma with comedo-type necrosis metastatic to a lymph node (7.0 cm) with other positive nodes. Primary differential is genital vs oropharyngeal.
Case 16	30 year old male with von Hippel Lindau syndrome and a left epididymal mass.	Emw8	Papillary cyst adenoma with clear cell features. PAX8 + RCC -
Case 17	28 year old female with vaginal mass.	Emw8	Pigmented PEComa + HMB45 • Melan A • Des - S100 • SMA