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Renal Cell Carcinoma Visible Only During the Corticomedullary Phase of Enhancement

Edward Y. Lee1,2, Jay P. Heiken1, Phyllis C. Huettner3 and Wittanee Na-ChiangMai1,4

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd., St. Louis, MO 63110.
2 Department of Radiology, Children's Hospital Boston and Harvard Medical School, 300 Longwood Ave., Boston MA 02115.
3 Lauren V. Ackerman Laboratory of Surgical Pathology, Washington University Medical Center, St. Louis, MO 63110.
4 Present address: Department of Radiology, Faculty of Medicine, ChiangMai University, ChiangMai 50200, Thailand.



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Fig. 1A. 69-year-old man with left renal mass. Hypervascular renal cell carcinoma (arrow) measuring approximately 1.0 cm in diameter is conspicuous on this helical CT image obtained during corticomedullary phase of renal parenchymal enhancement.

 


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Fig. 1B. 69-year-old man with left renal mass. Mass (arrow) is not discernible on unenhanced CT image.

 


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Fig. 1C. 69-year-old man with left renal mass. Mass (arrow) is also not discernible on this CT image obtained during nephrographic phase of enhancement.

 


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Fig. 1D. 69-year-old man with left renal mass. Photomicrograph of resected renal mass shows findings of renal cell carcinoma, clear cell type, Fuhrman nuclear grade 2 of 4. (H and E, x257)

 

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