Difference between revisions of "Cytologically Yours: CoW: 20131209"

From Pathology Education Instructional Resource
Jump to: navigation, search
Line 46: Line 46:
  
  
<div class="usermessage mw-customtoggle-diagnosis" style="cursor:pointer">Click here to toggle the diagnosis and case discussion.</div>
+
<div class="usermessage mw-customtoggle-diagnosis" style="cursor:pointer">Click here to toggle the diagnosis.</div>
 
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-diagnosis">
 
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-diagnosis">
 
<div class="mw-collapsible-content">
 
<div class="mw-collapsible-content">

Revision as of 22:01, 15 January 2014

Clinical Summary

The patient is an 64 year old white male who presented with left sided back pain. Imaging showed a left perinephric retroperitoneal hematoma and a left renal lower pole cystic lesion with hemorrhage. Additional imaging showed numerous pulmonary lesions. An endobronchial ultrasound guided fine needle aspiration was scheduled.

Past Medical History

  • Congestive heart failure
  • Ventricular tachycardia
  • Ischemic heart disease

Past Surgical History

  • Coronary stent placement
  • Implant of AICD


Clinical Plan

The concern is a primary renal malignancy with metastatic disease to lungs. An endobronchial ultrasound guided FNA is scheduled. An onsite rapid diagnosis by cytology was scheduled.

Radiology

  • CT Abdomen shows a large perinephric hematoma and large low anterior structure in left lower pole suspicious for a hemorrhagic renal cell carcinoma.
  • CT Chest shows multiple small lung lesions measuring up to 13x12 mm in greatest dimension.

Pathology

Cytology

Immunohistochemistry

Resident Questions



Click here to toggle the diagnosis.

Final Diagnosis

Cytology

  • Rapid diagnosis: Non-small cell carcinoma.
  • Final diagnosis: Renal cell carcinoma.


Case Discussion

This is a classic case of metastatic renal cell carcinoma.