Dr. Sukma MeratiPersonal website of Dr. Sukma Merati, Anatomical Pathologist

Today I feel bad, because one of the patient was dead a few hours ago. ..

The patient was 70 years old and he underwent right nephrectomy 3 days ago, for a kidney tumor on his right which was started just two months ago, according to his daughter. His right kidney measuring 14 cm at the biggest diameter. Hematuria was his chief complain, besides one big lump on his left cheek measuring 3 cm in diameter, also started about the same time, two months ago.

I will try to post the macroscopic kidney and the patient himself. I took his picture when I tried to see where about the lump on his cheek. There were some stitches still on the open biopsy done by surgeon to find out what was the bulky lump inside the soft tissue of his left cheek

This is the first time I saw the metastasis of renal cell carcinoma to soft tissue. The morphology of this kidney tumor was renal cell carcinoma with sarcomatoid appearence, so that it was graded as grade-4, the most malignant of this type..

Very interesting case, but I am not feeling good, when I heard the patient was passed away…

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