Which of the following is the most likely histologic diagnosis for this malignant neoplasm?

A 52-year-old man presents with painless hematuria. A CT scan of the abdomen reveals a mass in the left ureter, which almost completely obliterates the lumen and has resulted in mild hydronephrosis. The surgical specimen is shown in the image. Which of the following is the most likely histologic diagnosis for this malignant neoplasm?

image

  1. Adenocarcinoma
  2. Neuroblastoma
  3. Pheochromocytoma
  4. Renal cell carcinoma
  5. Urothelial cell carcinoma