PMC3881383_01
Contrast enhanced CT scan of the abdomen and pelvis in patient 1 with (a) axial section and (b) coronal section showing a large predominantly cystic (white arrow) right renal mass measuring 9 x 8 x 8 cm with solid areas (black arrow).
CRIM.UROLOGY2013-810590.002.jpg
PMC3881383_01_CRIM.UROLOGY2013-810590.002.jpg
fig2
Contrast enhanced CT in both patients revealed findings consistent with renal neoplasm (Figure 2).
(a) Cut surface showing well encapsulated predominantly unilocular cystic lesion with grey brown solid areas with focal areas of haemorrhage measuring 7.5 x 9 x 7 cm in size. (b) Microscopically, cells are arranged in papillary pattern (arrow) with some areas showing alveolar and nesting pattern. Cells showed abundant clear to eosinophilic cytoplasm with prominent nucleoli.
CRIM.UROLOGY2013-810590.003.jpg
PMC3881383_01_CRIM.UROLOGY2013-810590.003.jpg
fig3
Pathological examination of patient 1 showed well encapsulated predominantly unilocular cystic lesion with grey brown solid areas with focal areas of haemorrhage, measuring 7.5 x 9 x 7 cm (Figure 3(a)). Microscopically, the tumor was composed of cells arranged in papillary pattern with abundant clear to eosinophilic cytoplasm and prominent nucleoli (Figure 3(b)).
Hilar lymph node showing neoplastic infiltrate along with psammoma bodies (arrow).
CRIM.UROLOGY2013-810590.004.jpg
PMC3881383_01_CRIM.UROLOGY2013-810590.004.jpg
fig4
Hilar lymph node showed neoplastic infiltration in one of the patients (Figure 4).