Saturday, August 23, 2008

Answer to Case 35

Answer: Urinary schistosomiasis with Schistosoma haematobium and adenocarcinoma of the bladder.

I admit that it wasn't quite fair to expect a diagnosis of cancer on just a few fields, but having seen this whole case, I can confirm that this is indeed adenocarcinoma. This is an unusual case, since schistosomiasis is usually associated with squamous cell carcinoma and not adenocarcinoma. However, it could be that the two findings are completely unrelated.

Of interest, you can see the terminal spine on one of the partially calcified eggs in the middle image, confirming that this is S. haematobium.

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