A FRONTAL BONE SWELLING GUIDED TO REACH THE DIAGNOSIS OF RENAL CELL CARCINOMA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 53
Abstract
PRESENTATION OF CASE A 59 year male presented to Urology Outpatient Department (OPD) with a painless forehead swelling. He was operated for the same swelling two times within last three months by an orthopaedic surgeon initially and then by a neurosurgeon. In the last 3 weeks, the swelling has recurred and increased in size to attain a dimension of 4 cm x 3 cm currently. The initial histopathological (HP) finding of the excised lesion showed fibrocollagenous stroma, and small to large lumina with lobules of polygonal clear cells having distinct cytoplasmic membrane and small dark round to slightly irregular nuclei suggestive of clear cell Hidradenoma. (Figure 1). The histopathological findings of the same lesion after re-excision revealed vascular network interspersed within homogeneous nests of cells with clear cytoplasm suggestive of metastatic Clear Cell Carcinoma (mccRCC). Based on second HP report, patient was referred to us to rule out mccRCC.
Authors and Affiliations
Paresh Chandra Majhi, Narayan Chandra Behera, Gyan Prakash Singh, Chandra Sekhar Patro, Datteswar Hota
Keywords
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- EP ID EP220313
- DOI 10.18410/jebmh/2017/649
- Views 77
- Downloads 0
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