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Figure 3 | Diagnostic Pathology

Figure 3

From: Synchronous clear cell renal cell carcinoma and tubulocystic carcinoma: genetic evidence of independent ontogenesis and implications of chromosomal imbalances in tumor progression

Figure 3

Tubulocystic carcinoma component. A) Higher magnification of the image shown on figure 2B (H&E, 4Ɨ). B) The cystically-dilated tubules were lined by flat to polygonal cells (some with a hobnail profile) with enlarged nucleus, prominent nucleolus, and occasional abundant eosinophilic cytoplasm. The fibrous septae contained scattered fibroblast-like spindle cells interspersed within a collagenous stroma (H&E, 20Ɨ). C) Tubular cells were positive for AMACR (left, top) and CD10 (left, bottom), and CK19 (right) confirming their proximal and distal convoluted tubule cell origin, respectively (all images, 20Ɨ). Estrogen receptor was negative in both epithelial and stromal elements (not shown).

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