2nd August 2023

A 56-year-old woman presents with a 3-month history of painless haematuria and weight loss

A 56-year-old woman presents with a 3-month history of painless haematuria and weight loss. She was born in Malawi and immigrated to England 5 years ago. Cystoscopy reveals a tumour of the bladder. Past medical history is insignificant apart from being a long-term smoker. The serology for schistosoma antibodies is positive.

What is the most likely histological type of the tumour?

Select the SINGLE most appropriate option from the list below. Select ONE option only.