Renal cell carcinoma - cystic kidney with ESRD (gross pathology)

Case contributed by Dr Ian Bickle

Presentation

Middle aged patient with long standing end-stage renal disease (ESRD). Sinister lesion on CT.

Patient Data

Age: 60 years
Gender: Female

Post operative gross specimens.

Gross specimen from a nephrectomy (CUT).

Atrophic kidneys with mulitple cysts. One cyst contains solid tissue (annotated).

This was a renal cell carcinoma.

Arrows indicate the tumor that developed within one of the cysts

Case Discussion

Even kidneys that no longer function can develop tumor within - a few renal cells remain enough to become neoplastic.

Imaging this type of patient can be a challenge given the limitations of contrast enhancement.

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