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Renal Cell Carcinoma: Diagnosis Based on Metastatic Manifestations
Dietlind L. Wahner-Roedler, M.D., Thomas J. Sebo, M.D., Ph.D. Mayo Clinic Proceedings Volume 72, Issue 10, Pages (October 1997) DOI: / Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 1 Axial computed tomographic scans of head with bone window (left) and noncontrast (right) images: well-defined mass (3- by 4- by 5-cm) centered in midline occipital bone with bony matrix centrally and soft tissue peripherally. Mayo Clinic Proceedings , DOI: ( / ) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 2 Arterial-phase left common carotid angiogram, showing large vascular mass centered in occipital bone. Predominant arterial supply is through enlarged occipital artery (arrow). Tumor stain (arrowheads). Mayo Clinic Proceedings , DOI: ( / ) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 3 Gadolinium-enhanced axial T1-weighted magnetic resonance images, showing vascular mass abutting parasagittal cerebellar hemispheres and, to a lesser extent, occipital lobes. Subtle parenchymal invasion cannot be excluded. Tumor involves proximal transverse sinus (arrow) and invades torcular Herophili (parentheses). Mayo Clinic Proceedings , DOI: ( / ) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 4 Needle biopsy specimen of brain containing nests of metastatic renal cell carcinoma. Note prominent vascularity. (Hematoxylin-eosin; ×20.) Inset, Prominent nucleoli seen in most cell nuclei. (Hematoxylin-eosin; ×63.) Mayo Clinic Proceedings , DOI: ( / ) Copyright © 1997 Mayo Foundation for Medical Education and Research Terms and Conditions
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