PMC7874816_01
Photographs of computed tomography (CT) of the liver and kidney.. A. CT-scan (plain) showing the parasitic cystic lesion in the right hepatic lobe (indicated by arrow). B. CT-scan (plain) showing the tumor in the right kidney (indicated by arrow). C. The lesion of kidney was significantly enhanced after contrast enhancement (indicated by arrow). D. CT-scan showing carcinoma of kidney (thin arrow) complicated with echinococcal cyst of the liver (thick arrow).
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Computed tomography (CT) confirmed a 6x6cm lesion in the right hepatic lobe, with irregular margins, unclear boundary, calcification of the wall and heterogeneous density (Fig. 1A), as well as a mass with a size of 2x2 cm in the right kidney (Fig. 1B). Most of the lesions protruded from the kidney, and the lesion of kidney was significantly enhanced after contrast enhancement (Fig. 1C). Finally, she was diagnosed with liver Echinococcal cyst accompanied with clear cell renal carcinoma (Fig. 1D).
The patient was diagnosed as hepatic cystic echinococcosis accompanied with clear cell renal carcinoma.. A. Multiple cysts were seen in the open hydatid exocapsule. B. H&E staining of kidney lesion (indicated by arrow; magnification, X400).
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The typical hydatid cyst was observed when the liver lesion was opened (Fig. 2A). The hematoxylin and eosin staining of renal mass revealed large polygonal cells with clear cytoplasm, uniform round nuclei, and inconspicuous nucleoli, surrounded by a fibrous capsule (Fig. 2B).