Case ID: 187

Publication date: 05 Oct, 2015

Consensus grade: High-grade papillary urothelial carcinoma (HG-PUC)

User Diagnosis Difficulty Comment
Pathologist 1 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 2 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 3 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 4 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 5 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 6 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 7 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 8 High-grade papillary urothelial carcinoma (HG-PUC) Borderline higher
Pathologist 9 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 10 High-grade papillary urothelial carcinoma (HG-PUC) Typical

No specific comment.

Pathologist 11 High-grade papillary urothelial carcinoma (HG-PUC) Bordering on lower
Pathologist 12 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 13 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 14 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 15 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 16 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 17 High-grade papillary urothelial carcinoma (HG-PUC) Typical

I call those quite often papillary hyperplasia with atypica and say that they should be treated like Cis

Pathologist 18 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 19 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 20 High-grade papillary urothelial carcinoma (HG-PUC) Typical
Pathologist 21 High-grade papillary urothelial carcinoma (HG-PUC) Typical

HPUC with sloughing



Case description (by case creator):

Lesion shows marked denudation. The cells lining the papillary fronds depict marked variation in nuclear size, shape and chromatin. Cells appear loosely cohesive and the architecture is disorganized.