Sunday, August 1, 2010

Case of the Week 125

Bladder biopsy from a 28 year old male who immigrated from Kenya 5 years prior and presented with gross hematuria, flank pain, and bladder calcifications on a CT scan.
(CLICK ON IMAGES TO ENLARGE)

(hematoxylin and eosin stain, 100x original magnification)


(hematoxylin and eosin stain, 20x original magnification)


(hematoxylin and eosin stain, 400x original magnification)


Diagnosis? What is this patient at risk for?

Special thanks to Dr. Bekker from Fletcher Allen Health Care, VT, who donated this case!
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4 comments:

  1. AnonymousAugust 2, 2010 at 7:49 AM

    Schistosoma haematobium. The specimen is from the bladder and the terminal spine is apparent. JH, Vermont.

    ReplyDelete
  2. KathyAugust 2, 2010 at 8:14 AM

    I agree with Schistosoma haematobium and the patient is at risk for cancer.

    ReplyDelete
  3. AnonymousAugust 2, 2010 at 9:05 AM

    S. haematobium, with the risk for development of squamous cell carcinoma. BW in Vt

    ReplyDelete
  4. AnonymousAugust 2, 2010 at 10:26 AM

    I agree with the 3 previous responses.

    Chad

    ReplyDelete