Sandbox: DDx Kidney mass: Difference between revisions

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* Multifocal, well-circumscribed, mass
* Heterogeneous, multifocal, well-circumscribed, mass on CT
* Less intense contrast enhancement
* Calcification
 


* Papillary fibrovascular cores
* Papillary fibrovascular cores
 
* Cuboidal cells with a finely granular cytoplasm
* Cuboidal cells, lower grade nuclei with a longitudinal nuclear groove and  a finely granular cytoplasm.
* Longitudinal nuclear groove
* Hyaline globules present
* Hyaline globules present
* Distinct fibrous capsule
* Distinct fibrous capsule

Revision as of 14:54, 9 November 2015

  • 50-70 yo males
  • Asymptomatic
  • Incidental finding
  • Palpable flank mass


  • Papillary foamy macrophages
  • Intracellular hemosiderin
  • Size 7 cm


  • Heterogeneous, multifocal, well-circumscribed, mass on CT
  • Less intense contrast enhancement
  • Calcification


  • Papillary fibrovascular cores
  • Cuboidal cells with a finely granular cytoplasm
  • Longitudinal nuclear groove
  • Hyaline globules present
  • Distinct fibrous capsule
  • Trisomy 7
  • Trisomy 17


Nonmalignant causes

anaplastic sarcoma clear cell sarcoma mesoblastic nephroma metanephric stromal tumor nephroblastomatosis / nephrogenic rests neuroblastoma oncocytoid carcinoma after neuroblastoma ossifying