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In urologic pathology PUNLMP short for papillary urothelial neoplasm of low malignant potential is an exophytic (outward growing) (microscopically) nipple-shaped (or papillary) pre-malignant growth of the lining of the upper genitourinary tract (the urothelium) which includes the renal pelvis ureters urinary bladder and part of the urethra.PUNLMP is pronounced pun-lump like the words pun and lump.As their name suggests PUNLMPs are neoplasms i.e.

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