PMC4979332_01
(a) Right mandibular body swelling. (b) Intraoral view of the lesion
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F1
Overlying skin was freely movable; both cortices felt as expanded, [Figure 1a and b].
Occlusal view showing moth-eaten cortex
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F2
There was a loss of lamina dura around the roots of 46.47 with their circumferential resorption but not apical [Figures 2 and 3], and a 4 cm x 3 cm diffuse radiolucent lesion in the body of the mandible.
Orthopantomogram showing the right body rarefaction
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F3
There was a loss of lamina dura around the roots of 46.47 with their circumferential resorption but not apical [Figures 2 and 3], and a 4 cm x 3 cm diffuse radiolucent lesion in the body of the mandible.
(a) Right kidney lesion. (b) Contrast-enhanced computed tomography showing the right kidney lesion
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F4
Moreover, the CECT demonstrated a heterogeneous mass 4.5 cm x 3 cm at the upper pole of the right kidney with cystic changes [Figure 4a and b].
Vertebral body lesion
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F5
Multiple bone resorbing lesions in vertebrae, pelvis (acetabular and ischial region), right mandibular body, and left ramus and condylar region [Figure 5].
Histopathology of the mandibualr lesion showing clear cells
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F6
It was confirmed by the histopathologocal examination (HPE) of the incisional biopsy which revealed a clear cell variant of the RCC [Figure 6].