PMC3961255_01
Abdominal computed tomography showing multiple tumors in various organs (arrows), including the (a) pancreas, (b) left adrenal gland and left kidney, (c) right kidney, (d) right testis and (e) left testis.
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Contrast-enhanced computed tomography of the abdomen identified multiple tumors in the two kidneys, the pancreas and the left adrenal gland, in addition to the testes (Fig. 1).
Microscopic section of the left testicular tumor shows a typical pattern of clear cell renal carcinoma. All the disseminated lesions, which were surgically resected, showed the same findings (hematoxylin and eosin, magnification, x200).
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Pathological examination revealed that the tumor cells had small, slightly oval nuclei with optically clear cytoplasm and were arranged in nests separated by a rich network of sinusoidal vascular channels (Fig. 2).