Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased...
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Transcript of Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased...
![Page 1: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/1.jpg)
Case 10Case 10
![Page 2: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/2.jpg)
Basic clinical and pathological dataBasic clinical and pathological data
49-year-old male49-year-old male
Prostatic symptomatologyProstatic symptomatology
Increased level of PSA (up to 6 ng/ml)Increased level of PSA (up to 6 ng/ml)
Prostate 35 gProstate 35 g
4x 4 x 3 cm4x 4 x 3 cm
![Page 3: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/3.jpg)
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![Page 4: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/4.jpg)
Grey squirrel
![Page 5: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/5.jpg)
Our diagnosisOur diagnosis
Nephrogenic „adenoma“Nephrogenic „adenoma“
![Page 6: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/6.jpg)
Nephrogenic „adenoma“Nephrogenic „adenoma“
60% past surgery60% past surgeryAssociation with trauma, calculi or renal Association with trauma, calculi or renal transplantationtransplantation2/3 are males, 1/3 are younger than 30 2/3 are males, 1/3 are younger than 30 years of ageyears of age80% in urinary bladder, less frequently in 80% in urinary bladder, less frequently in ureters and urethra, or in renal pelvisureters and urethra, or in renal pelvisMacroscopicaly usually polypoid or Macroscopicaly usually polypoid or sessile, friable masssessile, friable mass
![Page 7: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/7.jpg)
Differential dg: NA vs
Adenoca+TCC
Adenoca+TCC
![Page 8: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/8.jpg)
Differential dg: NA vs
Clear cell (mesonephric) adenoca
Clear cell (mesonephric) adenoca
![Page 9: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/9.jpg)
Adenoca in situ
Adenoca
![Page 10: Case 10. Basic clinical and pathological data 49-year-old male Prostatic symptomatology Increased level of PSA (up to 6 ng/ml) Prostate 35 g 4x 4 x 3.](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649ccf5503460f9499ad37/html5/thumbnails/10.jpg)
Differential diagnosis- depends also Differential diagnosis- depends also on localisationon localisation
Adenocarcinoma or TCC with Adenocarcinoma or TCC with adenocarcinomatous componentadenocarcinomatous component
collecting duct RCC in renal pelviscollecting duct RCC in renal pelvis
Urothelial CIS, particularly in initial stageUrothelial CIS, particularly in initial stage