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Cytologically Yours: CoW: 20131216

Revision as of 21:59, 14 January 2014 by Stephanie Simmons (talk | contribs)

Contents

Clinical Summary

The patient is an 66 year old white male with a history of smoking, COPD, and diabetes. The patient presented with increased shortness of breath.

Past Medical History

  • Diabetes
  • COPD
  • Squamous cell carcinoma of skin

Past Surgical History

  • Excision of squamous cell carcinoma
  • Removal of adenomatous polyp of sigmoid colon


Clinical Plan

The differential diagnosis includes worsening of COPD. CT imaging of chest is performed.

Radiology

  • CT Chest shows hilar lung mass and multiple mediastinal lymph nodes showing increased uptake on PET scan.

Pathology

Cytology

Immunohistochemistry

Other immunostains

  • BerEp4

Resident Questions

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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.