PMC9208668_01
Abdominopelvic CT scan with contrast demonstrated solid mass with an internal gliosis in the left renal cortex. The solid component is enhanced with contrast admission, suggestive of malignancy.
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The size of the lesion was approximately 7.5 x 11.4 x 11.8 cm (Figure 1).
(A) Microscopic examination of renal tissue revealed tumor mass and necrosis. (B) Microscopic examination from the periphery of the lysis area revealed a cluster of tumor cells.
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Microscopic examination from necrotic and hemorrhagic masses tissue revealed lysed cells with minimal bleeding and infiltration of inflammatory cells (Figure 2A). Tissue preparation from the periphery of the lysis area revealed a loose tissue with clusters of polymorphic, round, oval, spindle, stellate cells with enlarged nuclei, vesicular, and difficult to see cytoplasm (Figure 2B).
Microscopic examination of the excised lymph nodes.
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Around the follicle there was bleeding accompanied by a light neutrophil infiltration (Figure 3).
(A) Coronal view CT scan in patient three months post-surgery. (B) Axial view CT scan in patient three months post-surgery.
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Abdominal CT scan showed that neither images of mass nor enlargement of lymph node were found (Figure 4).