Week 349: Case 5

1. Presented by Jonathan Epstein, M.D. and prepared by Julie M. Wu, M.D.

Fifteen months ago, a 5 year old boy presented with hematuria and ultrasonography showing a papillary mass in the bladder. The patient underwent resection where the diagnosis at an outside institution was "papilloma". Hematuria recurred and now there was a more solid irregular mass within the bladder measuring 18 x 6 mm. On review of the original lesion signed out as papilloma it was my opinion that it was a low grade noninvasive papillary urothelial carcinoma

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