Case 237: Renal Cell Carcinoma with Osseous Metaplasia.

Lai, Billy Ming Hei; Ka, Solomon Yig Joon; Kan, Wai Kuen; Lam, Man Wah; Lee, Tang Fei; Lui, Yun Hoi; Khoo, Jennifer Lai San · Radiology · 2017

case_report · Level V

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Abstract

History A 47-year-old man presented with palpitations and decreased exercise tolerance. A peripheral blood smear revealed anemia, thrombocytopenia, and blast cells, and a diagnosis of acute myeloid leukemia was made. Immunohistochemistry revealed positivity for cluster of differentiation (or CD) markers, which have been reported to be associated with an increased risk of extramedullary leukemic involvement. Thus, contrast material-enhanced computed tomography (CT) of the thorax, abdomen, and pelvis was requested to enable exclusion of any extramedullary extension of leukemia. Unenhanced and contrast-enhanced nephrographic phase CT was performed. Follow-up CT 3 months later showed minimal interval change in the lesion (images not shown).

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