case_images: PMC3348647_01
case_images: Preoperative contrasted CT scans of the patient, showing multiple bilateral kidney tumors, with diameters ranging between 1 and 5 cm. Radiologically, most of the tumors have malignant characteristics due to their hypervascularity and radiopaque enhancement.
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case_images: fig1
case_images: Computed tomography revealed 4 tumors, diameters ranging between 1 and 3 cm in the left kidney, and 4 tumors, diameters ranging between 1 and 5 cm in the right kidney (Figure 1).
case_images: Preoperative CT scan of the thorax (a-c) and chest X-ray (d).
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case_images: fig2
case_images: Her chest X-Ray and CT scan of thorax revealed multiple, randomly distributed air-filled small cysts (Figure 2).
case_images: (a) Multiple, asymptomatic, white, dome-shaped, firm papules over the face. (b) Multiple skin colored, soft, pedunculated papules on the axillae (acrochordons).
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case_images: fig3
case_images: On dermatological examination, she had multiple, asymptomatic, white, 1-3 mm sized, dome-shaped, firm papules over the face, neck, scalp, upper trunk, and back, and multiple skin colored, soft, pedunculated papules on the axillae that were clinically consistent with BHDS (Figure 3).
case_images: Macroscopic view of one of the tumors removed. The cut section appears light brown and glistering. No necrosis or hemorrhage is noted.
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case_images: fig4
case_images: On macroscopic examination (Figure 4), the excised tumors of the right kidney measured 3.7 cm, 1.8 cm, 1.7 cm, and 1.2 cm in maximal diameter, respectively.
case_images: Microscopic views of H&E sections, demonstrating histological features of both oncocytoma and conventional variant of renal cell carcinoma.
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case_images: fig5
case_images: Histomorphologically, each tumor revealed similar features (Figure 5).
case_images: MRI scans performed 2 years after surgery, documenting no tumoral lesion.
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case_images: fig6