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Pathology G.I.T 19e172b3

This is a specimen of nephrectomy, what is your diagnosis?

A
Renal cell carcinoma
B
Renal papillary adenoma
C
Urothelial cancer of renal pelvis
D
Oncocytoma
High-Yield Explanation
Oncocytoma, Renal papillary adenoma are benign tumors. (you need not do nephrectomy) In Urothelial cancer of renal pelvis, the tumor is in the renal pelvis (here it&;s in the periphery) This is a specimen of RCC- Clear cell typeClear cell carcinomas most likely arise from proximal tubular epithelium, and usually. occur as solitary unilateral lesions. They are bright yellow-gray-white spherical masses of variable size that disto the renal outline. The yellow color is a consequence of the prominent lipid accumulations in tumor cells.One of the striking characteristics of renal cell carcinoma is its tendency to invade the renal veinRef: Robbins Pathology; 9th edition; Page no: 954

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