Sandbox: DDx Kidney mass: Difference between revisions

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* Palpable flank mass
* Palpable flank mass


* Cells arranged in nests
 
* Granular eosinophilic cytoplasm 
* Nuclei uniform and round with no pleomorphism




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* Perinephric fat-stranding  
* Perinephric fat-stranding  
* Calcification
* Calcification
* Cells arranged in nests
* Granular eosinophilic cytoplasm 
* Nuclei uniform and round with no pleomorphism
* KIT positive
==Nonmalignant causes==
==Nonmalignant causes==
anaplastic sarcoma clear cell sarcoma mesoblastic nephroma metanephric stromal tumor nephroblastomatosis / nephrogenic rests neuroblastoma oncocytoid carcinoma after neuroblastoma ossifying
anaplastic sarcoma clear cell sarcoma mesoblastic nephroma metanephric stromal tumor nephroblastomatosis / nephrogenic rests neuroblastoma oncocytoid carcinoma after neuroblastoma ossifying

Revision as of 19:55, 9 November 2015

  • 50-60 yo male
  • Asymptomatic
  • Incidental finding on imaging
  • May have hematuria and flank pain
  • Palpable flank mass



  • Large well demarcated tumors
  • Large hetrogenous mass
  • Perinephric fat-stranding
  • Calcification


  • Cells arranged in nests
  • Granular eosinophilic cytoplasm
  • Nuclei uniform and round with no pleomorphism
  • KIT positive

Nonmalignant causes

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