A study published in Cancer Imaging evaluates the MRI features of sarcomatoid renal cell carcinoma (RCC) and their association with survival.
75-year-old woman with sarcomatoid RCC showing large volume of T2LIA. T2-weighted axial image shows 3.7-cm left kidney endophytic mass manifesting entirely with T2LIA that enhances on post-contrast T1-weighted image . Bone scan showed metastasis to left femur at baseline . Cytoreductive radical nephrectomy was done after which pathological analysis showed a 5.5-cm collecting duct type carcinoma with extensive sarcomatoid features and renal sinus fat invasion.
5-cm clear cell RCC with extensive sarcomatoid differentiation and renal sinus fat invasion. Systemic treatment including sunitinib and gefitinib was started owing to progression of disease at the thoracic and abdominal lymph nodes, chest wall and lungs. Patient died 226 days after surgery. RCC = renal cell carcinoma; T2LIA = T2 low signal intensity area62-year old man with sarcomatoid RCC with no visible T2LIA. T2-weighted axial image and post-contrast T1-weighted image shows 8.
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