Case 147

Surgical Pathology Case
 

CLINICAL INFORMATION

 

53-year-old gentleman, who was found to have a left renal tumor and a left hand-assisted laparoscopic nephrectomy was performed.

GROSS DESCRIPTION

 

The specimen consists of a radical nephrectomy specimen that weighs 470.0 grams and measures 14.0 13.0 6.0 cm. A 4.0 4.0 2.5 cm tumor is protruding into the perinephric fat but does not extend through Gerota's fascia.  The cut surface of the tumor is well-demarcated, bright yellow with focal hemorrhage and necrosis.

     
 
 

HE, 4

HE, 10

 
 

HE, 10

HE, 20

 
 

HE,20

HE, 40

 
 

HE, 40

HE, 40

 
 

HE, 40

HE, 20
 
 

HE, 40

HE, 20
     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan