case_images: PMC5347375_01
case_images: CT scan - coronal view. Large mass lesion (arrow) within right kidney measuring up to 7.4 x 7.5 x 9.2 cm.
case_images: jkcvhl-3-1-g001.jpg
case_images: PMC5347375_01_jkcvhl-3-1-g001.jpg
case_images: F1
case_images: Further investigation with computed tomography (CT) scan of the abdomen with intravenous contrast revealed enlarged right kidney with subcapsular haematoma and a mass lesion within the right lower pole measuring up to 7.4 x 7.5 x 9.2 cm with associated paracaval lymphadenopathy producing compression of the right renal vein and inferior vena cava (Figures 1 and 2).
case_images: CT scan - coronal view showing right kidney mass with subcapsular haematoma (arrows).
case_images: jkcvhl-3-1-g002.jpg
case_images: PMC5347375_01_jkcvhl-3-1-g002.jpg
case_images: F2
case_images: Further investigation with computed tomography (CT) scan of the abdomen with intravenous contrast revealed enlarged right kidney with subcapsular haematoma and a mass lesion within the right lower pole measuring up to 7.4 x 7.5 x 9.2 cm with associated paracaval lymphadenopathy producing compression of the right renal vein and inferior vena cava (Figures 1 and 2).
case_images: Right kidney specimen - cream and pink colour tumour with mixture of solid and cystic components with haematoma in the lumen of the cyst and possible necrosis.
case_images: jkcvhl-3-1-g003.jpg
case_images: PMC5347375_01_jkcvhl-3-1-g003.jpg
case_images: F3
case_images: On gross inspection, the tumour was cream and pink in colour with mixture of solid and cystic components (Figure 3).
case_images: Microscopic features of adult Wilms' tumour showing blastemal elements.
case_images: jkcvhl-3-1-g004.jpg
case_images: PMC5347375_01_jkcvhl-3-1-g004.jpg
case_images: F4
case_images: The blastemal elements were present in nodular fashion and had syncytial pattern with no diffuse infiltrative component (Figure 4).
case_images: Microscopic features of adult Wilms' tumour showing stromal elements and focal anaplastic elements.
case_images: jkcvhl-3-1-g005.jpg
case_images: PMC5347375_01_jkcvhl-3-1-g005.jpg
case_images: F5
case_images: The anaplastic elements were focally present in stromal elements (nuclear sized 3x tumour cells and tripolar mitosis; Figure 5).