WSI23-38-Case-27

Sequence	Case	Clinical history	Diagnosis
1	WSI23-38-Case-1 WSI23-38-Case-1	82 year old male with elevated creatinine shown to have left sided hydronephrosis by u/s and f/u CT yielding UPS obstruction and a mass. 82 year old male with elevated creatinine shown to have left sided hydronephrosis by u/s and f/u CT yielding UPS obstruction and a mass.	Hybrid oncocytic chromophobe tumor 5.3 cm, mid pole, confined to kidney Hybrid oncocytic chromophobe tumor 5.3 cm, mid pole, confined to kidney
2	WSI23-38-Case-2 WSI23-38-Case-2	68 year old man with left 3.5 cm kidney mass 68 year old man with left 3.5 cm kidney mass	Clear cell (tubulocystic) papillary renal cell carcinoma. + keratin 7, + CA 1X-cup-like, - racemase Clear cell (tubulocystic) papillary renal cell carcinoma. + keratin 7, + CA 1X-cup-like, - racemase
3	WSI23-38-Case-3 WSI23-38-Case-3	53 year old male s/p Whipple and splenectomy for pancreatitis with kidney mass discovered 2° to ↑ LFTs 53 year old male s/p Whipple and splenectomy for pancreatitis with kidney mass discovered 2° to ↑ LFTs	Clear cell renal cell carcnioma 6.2 cm Fuhrman 3/4 + renal vein lymphovascular invasion. pT3a NX Clear cell renal cell carcnioma 6.2 cm Fuhrman 3/4 + renal vein lymphovascular invasion. pT3a NX
4	WSI23-38-Case-4 WSI23-38-Case-4	72 year old woman with 3.6 cm left kidney mass 72 year old woman with 3.6 cm left kidney mass	Thyroid-like follicular carcinoma of the kidney ( - TTF1, - CA1X, - P504S, + PAX8, - molecular ) Thyroid-like follicular carcinoma of the kidney ( - TTF1, - CA1X, - P504S, + PAX8, - molecular )
5	WSI23-38-Case-5 WSI23-38-Case-5	40 year old woman with left kidney mass 40 year old woman with left kidney mass	Epithelioid angiomyolipoma (12.6 cm)+ HMB45, + MiTF-1, - Melan A Epithelioid angiomyolipoma (12.6 cm)+ HMB45, + MiTF-1, - Melan A
6	WSI23-38-Case-6 WSI23-38-Case-6	71year old female with stage 4 high grade urothelial carcinoma 71year old female with stage 4 high grade urothelial carcinoma	Invasive high grade urothelial carcinoma (Grade 3 of 3) 8.1 cm Right renal pelvis with direct extension to adrenal with + lymph nodes Invasive high grade urothelial carcinoma (Grade 3 of 3) 8.1 cm Right renal pelvis with direct extension to adrenal with + lymph nodes
7	WSI23-38-Case-7 WSI23-38-Case-7	76 year old male with left kidney mass 76 year old male with left kidney mass	Metastatic high grade myxofibrosarcoma morphologically matches priors Metastatic high grade myxofibrosarcoma morphologically matches priors
8	WSI23-38-Case-8 WSI23-38-Case-8	55 year old female with left cystic renal mass 55 year old female with left cystic renal mass	Epithelioid clear cell neoplasm suggestive of low grade clear cell renal cell carcinoma Epithelioid clear cell neoplasm suggestive of low grade clear cell renal cell carcinoma
9	WSI23-38-Case-9 WSI23-38-Case-9	73 year old female with right kidney mass 73 year old female with right kidney mass	Renal cell carcinoma with predominantly rhabdoid morphology (4.6 cm). Fuhrman 4. No LVI Renal cell carcinoma with predominantly rhabdoid morphology (4.6 cm). Fuhrman 4. No LVI
10	WSI23-38-Case-10 WSI23-38-Case-10	48 year old male with CAD, drug abuse and OSA who presented with right foot pain found to have bone lesions, mediastinal LAD. B kidney lesions, including 2.4 cm right adrenal nodule. Bx of mediastinal LAD concerig for metastatic renal cell carcinoma 48 year old male with CAD, drug abuse and OSA who presented with right foot pain found to have bone lesions, mediastinal LAD. B kidney lesions, including 2.4 cm right adrenal nodule. Bx of mediastinal LAD concerig for metastatic renal cell carcinoma	Renal cell carcioma with clear cell and spindle cell features, multifocal, up to 8.5 cm metastatic to adrenal gland (3.5 cm) + carbonic anhydrase IX Renal cell carcioma with clear cell and spindle cell features, multifocal, up to 8.5 cm metastatic to adrenal gland (3.5 cm) + carbonic anhydrase IX

12

Page: of 5