case_images: PMC4156985_01
case_images: (a) CT scan of abdomen showing necrotic right-sided tumor replacing the kidney. (b) CT scan after chemotherapy.
case_images: CRIONM2014-615895.001.jpg
case_images: PMC4156985_01_CRIONM2014-615895.001.jpg
case_images: fig1
case_images: Computed tomography (CT) scan of the neck, chest, abdomen, and pelvis demonstrated a 12 cm heterogeneous right renal mass (Figure 1(a)) with retrocaval, aortocaval, and paraaortic lymphadenopathy. Treatment with four cycles of dd-MVAC was associated with a significant reduction in size of renal mass from 9.3 cm to 5.9 cm with areas of necrosis on a CT scan of chest, abdomen, and pelvis (Figure 1(b)).
case_images: Supraclavicular lymph node (20x) with immunohistochemistry for CAM 5.2 and EMA.
case_images: CRIONM2014-615895.002.jpg
case_images: PMC4156985_01_CRIONM2014-615895.002.jpg
case_images: fig2
case_images: The neoplastic cells stained positive for AE1/AE3, cytokeratin CAM 5.2, epithelial membrane antigen (EMA), E-cadherin, cytokeratin 7, and cytokeratin 19 on immunohistochemical analyses (Figure 2).