Case ID: 1230

Publication date: 14 Jan, 2025

Consensus grade: Other

User Diagnosis Difficulty Comment
Pathologist 1 Other Not typical

Differential dx: variant of papillary carcinoma.In horseshoe kidney would rule out carcinoid.

Pathologist 2 Other Not typical

need IHC

Pathologist 3 Other Typical

I suspect that this is a carcinoid tumor

Pathologist 4 Renal cell carcinoma, unclassified Not typical

DDx: ? NE carcinoma or odd metanephric adenoma. Kept in unclassified category.

Pathologist 5 Insufficient tumor for diagnosis Not typical
Pathologist 6 Other Typical

Well differentiated Neuroendocrine tumor involving the kidney

Pathologist 7 Other Typical

well differentiated neuroendocrine carcinoma

Pathologist 8 Papillary RCC (Type 1) Typical
Pathologist 9 Other Typical

carcinoid?

Pathologist 10 Renal cell carcinoma, unclassified Not typical

not diagnoseable on these images

Pathologist 11 Other Not typical
Pathologist 12 Other Not typical
Pathologist 13 Other Typical
Pathologist 14 Renal cell carcinoma, unclassified Typical

Would perform IHC on this case and review patient history before deciding how to classify it

Pathologist 15 Renal cell carcinoma, unclassified Not typical

? carcinoid/neuroendocrine

Pathologist 16 Other Not typical
Pathologist 17 Other Not typical
Pathologist 18 Renal cell carcinoma, unclassified Not typical
Pathologist 19 Other Typical

carcinoid tumor

Pathologist 20 Other Not typical
Pathologist 21 Other Not typical

Exclude carcinoid

Pathologist 22 Other Typical
Pathologist 23 Other Not typical

Carcinoid (neuroendocrine) tumor?

Pathologist 24 Papillary RCC (Type 2) Not typical

I would prefere PRCC NOS BUT I would rule out TCC origin in such tumor



Case description (by case creator):

Renal carcinoid