Urine sample of 27/male presented with complaints of left flank pain and loss of appetite. CT scan showed evidence of left retroperitoneal mass involving left psoas muscle and left seminal vesicle .Lt kidney showed distorted parenchyma and lower calyx showed dilatation..Urinary bladder was unremarkable.Urine cytology was done as a routine investigation.
Reactive urothelial cells
High grade Urothelial carcinoma
High grade malignant tumor cells seen – unlikely to be TCC, possibility of germ cell origin cannot be ruled out.
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