PMC4432812_01
CT scan of the chest showing a tumor mass in the left upper lobe which measures 90 x 76mm
PAMJ-20-22-g001.jpg
PMC4432812_01_PAMJ-20-22-g001.jpg
F0001
A standard chest radiograph showed a left upper lobe opacity very suspected and a computed tomography (CT)scan of the chest confirmed this tumor mass in the left upper lobe which measures 90x76mm (Figure 1) associated to a lymph node of the anterior mediastinal chain.
A biopsy of the tumor mass of the lung
PAMJ-20-22-g002.jpg
PMC4432812_01_PAMJ-20-22-g002.jpg
F0002
The patient underwent a scanno-guided biopsy of the lung tumor which showed a localization of moderately differentiated adenocarcinoma (Figure 2).
A biopsy of the tumor mass of the lung. Immunohistochemical staining of this biopsy showed a diffusely expression of the TTF1
PAMJ-20-22-g003.jpg
PMC4432812_01_PAMJ-20-22-g003.jpg
F0003
On immunohistochemical staining, the thyroid transcription factor-1(TTF1) and the cytokeratin 7(CK7) were diffusely positive (Figure 3) and the CK20 was negative confirmed a NSCLC.
CT scan of the abdomen showing a solid tumor mass in the right kidney measuring 34mm with exophytic development and moderate enhancement
PAMJ-20-22-g004.jpg
PMC4432812_01_PAMJ-20-22-g004.jpg
F0004
In order to classify this tumor, the patient got a CT scan of the brain, the abdomen and the bone which revealed only a solitary renal mass in the lower pole of the right kidney which was solid, small measuring 34mm with exophytic development and moderate enhancement (Figure 4).
Evaluation after 2 cycles of chemotherapy with a CT scan of the abdomen. CT scan cut showing a stability of the renal mass according to RECIST 1.1
PAMJ-20-22-g005.jpg
PMC4432812_01_PAMJ-20-22-g005.jpg
F0005
At evaluation after 2 cycles we observed a partial response in the lung with a stability of the renal mass (Figure 5) according to RECIST1.1.
A biopsy of the renal tumor. Histologic sections (HESx10) of biopsy of the renal tumor showed a proliferation of tumor cells with clear cytoplasm
PAMJ-20-22-g006.jpg
PMC4432812_01_PAMJ-20-22-g006.jpg
F0006
The diagnosis of metastasis to the Kidney was feared and the patient got a scanno-guided biopsy of this renal mass that showed a proliferation of tumor cells with clear cytoplasm (Figure 6) which expressed the cluster of differentiation 10 (CD10) and the epithelial membrane antigen (EMA) (Figure 7) but did not express the vimentin and the CK7, confirming a synchronous CCR which was classed stage I.
A biopsy of the renal tumor. Immunohistochemical staining of this biopsy showed a diffusely expression of the CD10
PAMJ-20-22-g007.jpg
PMC4432812_01_PAMJ-20-22-g007.jpg
F0007
The diagnosis of metastasis to the Kidney was feared and the patient got a scanno-guided biopsy of this renal mass that showed a proliferation of tumor cells with clear cytoplasm (Figure 6) which expressed the cluster of differentiation 10 (CD10) and the epithelial membrane antigen (EMA) (Figure 7) but did not express the vimentin and the CK7, confirming a synchronous CCR which was classed stage I.