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Case 7

Case 7. Basic clinical data. 78-year-old Caucassian male Tumor of the right ureter and renal pelvis No evidence of metastatic disease or another primary tumor No hormonal dysbalance. Your opinions, questions?. Common anoli Anolis carolinensis.

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Case 7

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  1. Case 7

  2. Basic clinical data • 78-year-old Caucassian male • Tumor of the right ureter and renal pelvis • No evidence of metastatic disease or another primary tumor • No hormonal dysbalance

  3. Your opinions, questions?

  4. Common anoli Anolis carolinensis

  5. Osteoclast-like giant cell tumor of renal pelvis Akhtar M, Aslam M, Lindstedt E, et al J Urol Pathol, 11, 1999:181-193

  6. Osteoclast-rich undifferentiated carcinomas of the urinary tractBaydar D, Amin MB, Epstein JI Modern Pathol 2005 Advance On-line

  7. Pathological features • No obvious malignant component within tumorous mass • Probably favourable biological behavior • Several similar cases were described but in connection with malignant urothelial component

  8. Differential diagnostics • Sarcomatoid RCC or TCC • Primary osteosarcoma of the urinary bladder • Variants of urothelial carcinoma with HCG pozitive elements, with giant multinuclear cells, etc.

  9. Sarcomatoid TCC

  10. Osteoclast-type giant cells within TCC

  11. TCC with trophoblastic differentiation

  12. Giant cell ca/undifferentiated carcinoma

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