Beta-human Chorionic Gonadotropin-producing Renal Cell Carcinoma

Slides:



Advertisements
Similar presentations
Pierre Charbel Atallah, MD, Pierre Atallah, MD, Vikram Kashyap, MD 
Advertisements

Renal Cell Carcinoma: Delayed Metachronous Metastases to Parotid and Cerebellum  Antonia Kolokythas, DDS, MSc, Scott Weiskopf, DDS, Manmeet Singh, DO,
Severe Tuberculosis Sepsis in an Immunocompetent Patient
Pierre Loulergue, MD, MSc, Agnès Guerre, MD 
Restoring Balance: Paraneoplastic Cerebellar Degeneration
Ragesh Panikkath, MD, DNB, DM, Cynthia A
Melissa Noble, MD, Emily Moreno, MSPH, MA, Morteza Khodaee, MD, MPH 
Gregory L. Hundemer, MD, MPH, Andrew Z. Fenves, MD 
Abdominal Tuberculosis Presenting as a Malignant Masquerader
Primary Pulmonary Lymphoma: A Case of ‘Unresolving Pneumonia’
Crowned Dens Syndrome The American Journal of Medicine
A Pain in the Neck: Thyroid Abscess
Incarcerated Umbilical Hernia After Colonoscopy in a Cirrhotic Patient
Pierre Loulergue, MD, MSc, Agnès Guerre, MD 
Not Your Typical Renal Cyst
David R. Curran, MD, Terence K
Shenil S. Shah, MD, Ryan R. Gaffney, DO, Thomas M
Cholangiocarcinoma Presenting as Metastases to the Cervical Spine
One Appendix, Two Different Pains
A Rare Cause of Multiple Bone Lesions: Metastasis or Not?
An Iatrogenic Metastasis
A Middle-Aged Woman with Localized Wheezing
Pannus Attack: Septic Thrombophlebitis
Luis H. Camacho, MD, MPH, Ana Mora-Bowen, MS, Reginald Munden, MD, W
Platelet Count of Zero: A Curious Case of Thrombocytopenia
Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain
Bilateral Adrenal Adenomas and Persistent Leukocytosis: A Unique Case of Cushing’s Syndrome  Nilay Desai, MD, Anoop Kapoor, MD, Binod K. Singh, MD, Jingxuan.
Paradoxical Response to Tuberculosis Treatment in a Patient Receiving Tumor Necrosis Factor-Alpha Antagonist  Caroline Moureau, Lucie Pothen, MD, Dunja.
An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm
Urinary Ascites and Renal Failure from Unrecognized Bladder Rupture
A Classically Enlarged Cardiac Silhouette
Sarcoma of the Chest Wall: A Rare Tumor
A Rarity in a Common Disease: Thyroid Paraganglioma
The Perils of Country Life: Human Monocytic Ehrlichiosis
David T. Cooke, MD, Dennis J. Zheng, Karen A. Peterson, NP, Royce F
Baffling Tachycardia The American Journal of Medicine
Height Loss and Generalized Pain in a 35-year-old Man
Symptomatic, Obstructive Cardiac Metastasis Can Respond to Chemotherapy  Matthew Cove, MD, Ruth Johnston, MD, Richard Cowan, MD, Philip Haji-Michael, MD 
What's in Her Pocket: Worsening Diverticulitis
Ashok K. Malani, MD, MS, Brian Olofsson, MD, David Debono, MD 
Allison L. Ruff, MD, Kathryn Teng, MD, Bo Hu, PhD, Michael B
Digging Deep: High Output Heart Failure in Renal Cell Carcinoma
Blood in Urine: A Hard Nut to Crack
Renal Cell Carcinoma Associated With Sarcoidlike Tissue Reaction
Unusual Enhancing Foci
An Uncommon Cause of Recurrent Venous Thromboembolism
Eyelid Swelling and Proptosis with Systemic Implications
Neurogenic Pulmonary Edema Following Non-status Epileptic Seizure
Disseminated Mycobacterium avium-intracellulare Complex Infection
Significant Aspirations: Recurrent Pneumonia
Diabetic Muscle Infarction: Case Report of a Rare Complication
Lump in Scrotum and Abnormal Chest X-Ray: What Is the Link?
Emphysematous Pancreatitis
Pleurectomy and decortication for metastatic renal cell carcinoma
A Gut Feeling The American Journal of Medicine
Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome?  Joseph A. Moore, MD, Siayareh Rambally, MD 
Pulmonary Langerhans' Cell Histiocytosis
Axillary Mass and Hypercalcemia: The Value of a Physical Examination
Exogenous Lipoid Pneumonia (Fire-eater's Lung)
All Wrapped up and Nowhere to Flow
Wunderlich Syndrome The American Journal of Medicine
Eagle's Syndrome The American Journal of Medicine
Ajay Major, MD, MBA, Mel Anderson, MD  The American Journal of Medicine 
Quiz Page August 2007 American Journal of Kidney Diseases
Unexpected Venous Thrombosis in the Superior Vena Cava
Unexpected Etiology of Atypical Chest Pain
Pheochromocytoma Presenting as Fever of Unknown Origin
Dueling Lungs: The Progression of Swyer-James Syndrome
Quiz Page Answers February 2006
An Unexpected Pneumonitis
Presentation transcript:

Beta-human Chorionic Gonadotropin-producing Renal Cell Carcinoma Adewumi N. Adekunle, BS, Austin S. Lam, BS, Sara D. Turbow, MD, MPH, Christina R. Stallworth, MD, Matthew J. Ferris, MD, Jungjin Kim, MD, Terry A. Jacobson, MD  The American Journal of Medicine  Volume 129, Issue 3, Pages e29-e31 (March 2016) DOI: 10.1016/j.amjmed.2015.10.035 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure (A) Coronal abdominal computed tomography (CT) with contrast shows large mixed cystic/solid lesions in both the right and left kidneys (arrows). (B) Axial abdominal CT with contrast showing bilateral complex masses (asterisks) and enlarged adjacent retrocaval and left perinephric lymph nodes, concerning for local metastatic disease. (C) Axial chest CT demonstrates multiple indeterminate pulmonary nodules. (D) Testicular ultrasound reveals a left hydrocele (asterisk). (E) Fine-needle aspiration (FNA) smear of renal tumor shows cluster of smooth-bordered cells typical of renal cell carcinoma. Cells with bland nuclei and clear cytoplasm favor clear cell type (Diff-quick stain 20×; inset - 40×magnification). (F) FNA smear of renal tumor (Papanicolaou stain, 20×; inset, 40×magnification). (G) FNA smear of renal tumor demonstrates calcifications (arrows) (Papanicolaou stain, 20×). Contrast and brightness of images have been optimized for display. TP53 sequencing showed dup/del and mutation, which does not rule out mutations affecting gene expression or mRNA splicing. The American Journal of Medicine 2016 129, e29-e31DOI: (10.1016/j.amjmed.2015.10.035) Copyright © 2016 Elsevier Inc. Terms and Conditions