Huge renal cyst with parietal renal cell carcinoma, osseous metaplasia and a papillary adenoma: a case report with unique clinicopathological features and literature review

Puppa G., Gervasio A., YÖRÜKOĞLU K., Colombari R., De Marchi F., Canzonieri V.

VIRCHOWS ARCHIV, cilt.452, sa.3, ss.325-330, 2008 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 452 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1007/s00428-007-0547-8
  • Dergi Adı: VIRCHOWS ARCHIV
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.325-330
  • Anahtar Kelimeler: renal cell carcinoma, cyst, papillary adenoma, osseous metaplasia
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

The unique clinicopathological features of a giant solitary renal cyst with a parietal clear cell carcinoma in contiguity with a focus of osseous metaplasia and a papillary adenoma are reported. Ultrasonography and computed tomography showed a single cyst with a focal wall irregularity. During surgery, a frozen section revealed the presence of a renal cell carcinoma of clear cell type, so a nephrectomy was performed. After extensive pathological sampling of the cyst's wall, a focus of osseous metaplasia in contiguity with the main tumour and a microscopic papillary adenoma were found. Diagnostic implications for the present case are discussed within a pertinent literature review.