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Case ID: 226

Publication date: 03 May, 2024

Consensus grade: Reactive atypia

User Diagnosis Difficulty Comment
Pathologist 1 Reactive atypia Typical
Pathologist 2 Reactive atypia Typical
Pathologist 3 Atypia/dysplasia Typical
Pathologist 4 Reactive atypia Typical
Pathologist 5 Atypia/dysplasia Typical
Pathologist 6 Reactive atypia Typical
Pathologist 7 Reactive atypia Typical
Pathologist 8 Reactive atypia Borderline higher
Pathologist 9 Atypia/dysplasia Borderline higher
Pathologist 10 Reactive atypia Typical
Pathologist 11 Reactive atypia Typical

but would strongly suggest a second look if possible with PDD cystoscopy

Pathologist 12 Reactive atypia Typical
Pathologist 13 Reactive atypia Typical
Pathologist 14 Reactive atypia Typical
Pathologist 15 Reactive atypia Typical
Pathologist 16 Reactive atypia Typical
Pathologist 17 Reactive atypia Typical

No specific comment.

Pathologist 18 Reactive atypia Bordering on higher
Pathologist 19 Atypia/dysplasia Typical

Could be some reactive element due to the inflammation

Pathologist 20 Carcinoma in situ (CIS) Typical
Pathologist 21 Reactive atypia Bordering on higher


Case description (by case creator):

A 73-year-old man who had a history of BPH and pT1a renal cell carcinoma underwent blader cystoscopy due to a suspicious mild bladder thickening on CT scan. Cystoscopy showed multiple erythematous lesions in the bladder that were biopsied.