Case ID: 1036

Publication date: 31 Jan, 2025

Consensus grade: Mucinous tubular and spindle cell carcinoma

User Diagnosis Difficulty Comment
Pathologist 1 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 2 Mucinous tubular and spindle cell carcinoma Not typical
Pathologist 3 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 4 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 5 Mucinous tubular and spindle cell carcinoma Not typical
Pathologist 6 Mucinous tubular and spindle cell carcinoma Typical

differentail papillary type I?

Pathologist 7 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 8 Renal cell carcinoma, unclassified Not typical

Pap vs mtscc

Pathologist 9 Papillary RCC (Type 1) Typical
Pathologist 10 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 11 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 12 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 13 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 14 Mucinous tubular and spindle cell carcinoma Not typical

In such cases I always try to rule out PRCC NOS......FISH for chromosomes 7,17 can be helpfull.

Pathologist 15 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 16 Mucinous tubular and spindle cell carcinoma Typical
Pathologist 17 Mucinous tubular and spindle cell carcinoma Typical

need lower mag images

Pathologist 18 Papillary RCC (Type 1) Not typical

not spindled enough for mucinous tubular spindle cell carcinoma

Pathologist 19 Mucinous tubular and spindle cell carcinoma Typical


Case description (by case creator):

Tumour composed of elongated clefts and tubules