{"id":2166,"date":"2017-08-01T13:04:56","date_gmt":"2017-08-01T13:04:56","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/urinary-tract-cytology-normal-elements\/"},"modified":"2025-02-10T20:04:50","modified_gmt":"2025-02-10T20:04:50","slug":"urinary-tract-cytology-normal-elements","status":"publish","type":"page","link":"https:\/\/dev.cytologystuff.com\/zh-hans\/non-gyn-atlas\/urinary-tract-cytology-normal-elements\/","title":{"rendered":"Urinary Tract Cytology – Normal Elements"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]JTNDY2VudGVyJTNFJTNDYSUyMGNsYXNzJTNEJTIyc2hpZnRuYXYtdG9nZ2xlJTIwc2hpZnRuYXYtdG9nZ2xlLWJ1dHRvbiUyMiUyMGRhdGEtc2hpZnRuYXYtdGFyZ2V0JTNEJTIyc2hpZnRuYXYtbWFpbiUyMiUzRSUzQ2klMjBjbGFzcyUzRCUyMmZhJTIwZmEtYmFycyUyMiUzRSUzQyUyRmklM0UlMjBUYWJsZSUyMG9mJTIwQ29udGVudHMlMjAlM0MlMkZhJTNFJTNDJTJGY2VudGVyJTNF[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Urinary Tract Cytology \u2013 Normal Elements” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″][vc_column_text]<\/a><\/p>\n

NORMAL ELEMENTS<\/p>\n

<\/a><\/p>\n

\n

Reminder: You may click on any slide image
\nfor an enlarged view.<\/strong><\/p>\n


\n\"Image<\/a><\/p>\n
Figure 1<\/strong>
\nVoided urine, negative
\nVoided urine is the most readily obtainable urinary specimen. 20x<\/div>\n<\/div>\n
Figure 1<\/strong>
\nVoided urine, negative
\nVoided urine is the most readily obtainable urinary specimen.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 2<\/strong>
\nCatheterized urine, negative
\nCatheterized urine specimens often contain clusters of cells, removed during instrumentation. 20x<\/div>\n<\/div>\n
Figure 2<\/strong>
\nCatheterized urine, negative
\nCatheterized urine specimens often contain clusters of cells, removed during instrumentation.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 3<\/strong>
\nRenal pelvis washing, negative
\nWashings involve lavage with 50 mls of saline before bladder manipulation and usually result in richly cellular specimens. 20x<\/div>\n<\/div>\n
Figure 3<\/strong>
\nRenal pelvis washing, negative
\nWashings involve lavage with 50 mls of saline before bladder manipulation and usually result in richly cellular specimens.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 4<\/strong>
\nIntestinal conduit urine, negative
\nWashings from a loop urine contain benign glandular cells. 40x<\/div>\n<\/div>\n
Figure 4<\/strong>
\nIntestinal conduit urine, negative
\nWashings from a loop urine contain benign glandular cells.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 5<\/strong>
\nVoided urine, negative
\nParabasal-like urothelial cells look metaplastic. 60x<\/div>\n<\/div>\n
Figure 5<\/strong>
\nVoided urine, negative
\nParabasal-like urothelial cells look metaplastic.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 6<\/strong>
\nUrine, negative
\nUrothelial cells may be round and mononuclear as pictured in figures 6-8. 20x<\/div>\n<\/div>\n
Figure 6<\/strong>
\nUrine, negative
\nUrothelial cells may be round and mononuclear as pictured in figures 6-8.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 7<\/strong>
\nUrine, negative 40x<\/div>\n<\/div>\n
Figure 7<\/strong>
\nUrine, negative
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 8<\/strong>
\nUrine, negative 60x<\/div>\n<\/div>\n
Figure 8<\/strong>
\nUrine, negative
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 9<\/strong>
\nUrine, negative
\nNormal urothelial cells may appear columnar. 60x<\/div>\n<\/div>\n
Figure 9<\/strong>
\nUrine, negative
\nNormal urothelial cells may appear columnar.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 10<\/strong>
\nUrine, negative
\nUmbrella cells are large and usually multinucleated. The cytoplasm of this umbrella cell is finely vacuolated. 40x<\/div>\n<\/div>\n
Figure 10<\/strong>
\nUrine, negative
\nUmbrella cells are large and usually multinucleated. The cytoplasm of this umbrella cell is finely vacuolated.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 11<\/strong>
\nCatheterized urine, negative
\nNuclei of umbrella cells are round to ovoid with finely granular chromatin and small nucleoli. 40x<\/div>\n<\/div>\n
Figure 11<\/strong>
\nCatheterized urine, negative
\nNuclei of umbrella cells are round to ovoid with finely granular chromatin and small nucleoli.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 12<\/strong>
\nVoided urine, atypical
\nVoided urine samples may contain cell clusters and hence be labeled “atypical.” Approximately 20% of these samples are normal. 60x<\/div>\n<\/div>\n
Figure 12<\/strong>
\nVoided urine, atypical
\nVoided urine samples may contain cell clusters and hence be labeled “atypical”. Approximately 20% of these samples are normal.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 13<\/strong>
\nRenal pelvis washing, negative
\nBenign cell clusters in washings show nuclei that can be either pale or hyperchromatic and may contain one or more nucleoli. 40x<\/div>\n<\/div>\n
Figure 13<\/strong>
\nRenal pelvis washing, negative
\nBenign cell clusters in washings show nuclei that can be either pale or hyperchromatic and may contain one or more nucleoli.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 14<\/strong>
\nUrine, negative
\nSquamous cells may be present as contaminants from external genitalia or as cells shed from the trigone. 20x<\/div>\n<\/div>\n
Figure 14<\/strong>
\nUrine, negative
\nSquamous cells may be present as contaminants from external genitalia or as cells shed from the trigone.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 15<\/strong>
\nUrine, negative
\nPresence of inflammation in urinary samples may indicate trauma, infection or tumor. 20x<\/div>\n<\/div>\n
Figure 15<\/strong>
\nUrine, negative
\nPresence of inflammation in urinary samples may indicate trauma, infection or tumor.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 16<\/strong>
\nUrine, negative
\nBenign urinary samples are normally free of blood. Red blood cell casts may indicate bleeding in the kidney. 60x<\/div>\n<\/div>\n
Figure 16<\/strong>
\nUrine, negative
\nBenign urinary samples are normally free of blood. Red blood cell casts may indicate bleeding in the kidney.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 17<\/strong>
\nUrine, negative
\nRenal tubular cells are small and columnar and may appear singly or in renal tubular cell casts as pictured. 60x<\/div>\n<\/div>\n
Figure 17<\/strong>
\nUrine, negative
\nRenal tubular cells are small and columnar and may appear singly or in renal tubular cell casts as pictured.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 18<\/strong>
\nUrine, negative
\nCopora amylacea are laminated non-calcified bodies originating in the prostate gland. 60x<\/div>\n<\/div>\n
Figure 18<\/strong>
\nUrine, negative
\nCopora amylacea are laminated non-calcified bodies originating in the prostate gland.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 19<\/strong>
\nUrine, negative
\nSperm may also appear in urine. 60x<\/div>\n<\/div>\n
Figure 19<\/strong>
\nUrine, negative
\nSperm may also appear in urine.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 20<\/strong>
\nUrine, negative
\nCrystals may be present in urine, but are routinely analyzed during urinalysis. 20x<\/div>\n<\/div>\n
Figure 20<\/strong>
\nUrine, negative
\nCrystals may be present in urine, but are routinely analyzed during urinalysis.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 21<\/strong>
\nIleal conduit urine, negative
\nLubricant, cytoplasmic debris and glandular cells resembling macrophages make diagnosing malignancy challenging. 40x<\/div>\n<\/div>\n
Figure 21<\/strong>
\nIleal conduit urine, negative
\nLubricant, cytoplasmic debris and glandular cells resembling macrophages make diagnosing malignancy challenging.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 22<\/strong>
\nUrine, negative
\nCandida<\/em> is the most common fungal infection of the urinary tract. 20x<\/div>\n<\/div>\n
Figure 22<\/strong>
\nUrine, negative
\nCandida<\/em> is the most common fungal infection of the urinary tract.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 23<\/strong>
\nVoided urine, negative
\nCandida is seen as pseudo-hyphae or spores. 60x<\/div>\n<\/div>\n
Figure 23<\/strong>
\nVoided urine, negative
\nCandida<\/em> is seen as pseudo-hyphae or spores.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 24<\/strong>
\nVoided urine, negative
\nCandida may occur as a contaminant from the vagina in female patients. 60x<\/div>\n<\/div>\n
Figure 24<\/strong>
\nVoided urine, negative
\nCandida<\/em> may occur as a contaminant from the vagina in female patients.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 25<\/strong>
\nUrine, negative
\nCells infected with polyoma virus vary in size. 60x<\/div>\n<\/div>\n
Figure 25<\/strong>
\nUrine, negative
\nCells infected with polyoma virus vary in size.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 26<\/strong>
\nUrine, negative
\n“Decoy cells” caused by polyoma virus mimic cancer and have basophilic opaque intranuclear inclusions. 60x<\/div>\n<\/div>\n
Figure 26<\/strong>
\nUrine, negative
\n“Decoy cells” caused by polyoma virus mimic cancer and have basophilic opaque intranuclear inclusions.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 27<\/strong>
\nUrine, atypical
\nThe presence of stones can result in nuclear enlargement, hyperchromasia, prominent nucleoli and occasional mitosis. 60x<\/div>\n<\/div>\n
Figure 27<\/strong>
\nUrine, atypical
\nThe presence of stones can result in nuclear enlargement, hyperchromasia, prominent nucleoli and occasional mitosis.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 28<\/strong>
\nUrine, atypical
\nSometimes the atypia from lithiasis is so severe that further workup to exclude malignancy is necessary. 40x<\/div>\n<\/div>\n
Figure 28<\/strong>
\nUrine, atypical
\nSometimes the atypia from lithiasis is so severe that further workup to exclude malignancy is necessary.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 29<\/strong>
\nUrine, suspicious
\nThe presence of stones can result in large clusters and papillary fragments with marked variation in shape and size of the urothelial cells. 40x<\/div>\n<\/div>\n
Figure 29<\/strong>
\nUrine, suspicious
\nThe presence of stones can result in large clusters and papillary fragments with marked variation in shape and size of the urothelial cells.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 30<\/strong>
\nUrine, reactive
\nCells have prominent nucleoli, nuclear enlargement and marked variation in size due to lithiasis. 60x<\/div>\n<\/div>\n
Figure 30<\/strong>
\nUrine, reactive
\nCells have prominent nucleoli, nuclear enlargement and marked variation in size due to lithiasis.
\n60x<\/div>\n<\/div>\n
<\/div>\n

[\/vc_column_text][\/vc_column][vc_column width=”1\/3″ offset=”vc_hidden-sm vc_hidden-xs”][vc_widget_sidebar sidebar_id=”consulting-right-sidebar”][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_row 0=””][vc_column 0=”” of<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":1947,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-2166","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/2166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=2166"}],"version-history":[{"count":0,"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/2166\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/1947"}],"wp:attachment":[{"href":"https:\/\/dev.cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=2166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}