The image(s) shown below represent(s) the pathologic appearance of a disease process and/or related test procedure or normal structure. Your challenge is to identify this process.

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This week's case:

Case 217

Case contributed by Dr. John Blackmon of Thomasville, Georgia, USA.


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The ending date for the contest for Case 217 will be Monday, May 19, 2008 at 7:00 am EDT.


Contest Rules

A winner will be picked at random from the correct entries submitted for each C.O.W. case. Only complete entries with full name, address, and e-mail address will be considered. Only one entry per case is allowed per person. Entries must be submitted in the English language. Winners will be notified by e-mail.


Prizes

Winners for each contest will receive the following prize:

  • WebPath 10 CD-ROM by Edward C. Klatt MD


Last Case

Case 216

This patient had a prior cystectomy. Describe these findings.

Case contributed by Professor Paolo Boccato of Padova, ITALY.

The cells shown here have been exfoliated into the ileal conduit that was placed following the total cystectomy for bladder cancer. The round to ovoid cells are seen with Pap stain. The original tall cells of the ileal loop modified their shape, as a result of the functional adaptation of the mucosa to the new environment. Without clinical information the findings may be mistaken for a malignant bladder neoplasm. In the present case no atypical cells are found, and the correct diagnosis is cells consistent with ileal bladder.


There were 90 correct entries out of 102 total entries for case 216.
Our winner is: Kyle Carr MD of Traverse City, Michigan, USA

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