case_images: PMC6644278_01
case_images: Axial & coronal view, CT of abdomen without contrast demonstrating multifocal left renal malignancy (dashed arrows) with metastasis to vagina as well as left hepatic lobe (solid arrows).
case_images: CRIOG2019-2174051.001.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.001.jpg
case_images: fig1
case_images: CT imaging findings were consistent with a multifocal left renal malignancy with metastasis to vagina as well as left hepatic lobe (Figures 1 and 2).
case_images: Axial & coronal view, CT of abdomen without contrast demonstrating multifocal left renal malignancy (dashed arrows) with metastasis to vagina as well as left hepatic lobe (solid arrows).
case_images: CRIOG2019-2174051.002.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.002.jpg
case_images: fig2
case_images: CT imaging findings were consistent with a multifocal left renal malignancy with metastasis to vagina as well as left hepatic lobe (Figures 1 and 2).
case_images: Pelvic arteriogram demonstrating a large hypervascular blush with active extravasation (arrow) along the left side of the vagina consistent with metastatic lesion.
case_images: CRIOG2019-2174051.003.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.003.jpg
case_images: fig3
case_images: A pelvic arteriogram was performed and showed a large hypervascular mass with active extravasation of the left vagina consistent with metastatic disease (Figure 3).
case_images: Vaginal mass biopsy: Hematoxylin and Eosin stain at 40X magnification.
case_images: CRIOG2019-2174051.004.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.004.jpg
case_images: fig4
case_images: Two formalin-fixed biopsy specimens measuring 0.45 x 0.45 x 0.15 cm and 0.5 x 0.4 x 0.2 cm in size were sent to pathology for consideration (Figure 4).
case_images: Vaginal mass biopsy: demonstrating positive reactivity for immunohistochemical PAX8 Stain, consistent with RCC.
case_images: CRIOG2019-2174051.005.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.005.jpg
case_images: fig5
case_images: The two specimens were found to be positive for vimentin, CK8/18, AE1/3, CD10, and PAX8 (Figures 5 and 6).
case_images: Vaginal mass biopsy: demonstrating positive reactivity for immunohistochemical CD10 Stain, consistent with RCC.
case_images: CRIOG2019-2174051.006.jpg
case_images: PMC6644278_01_CRIOG2019-2174051.006.jpg
case_images: fig6
case_images: The two specimens were found to be positive for vimentin, CK8/18, AE1/3, CD10, and PAX8 (Figures 5 and 6).