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Arch Dermatol. 2004;140:1393-1398.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Metastatic renal cell carcinoma.

MICROSCOPIC FINDINGS, LABORATORY FINDINGS, AND CLINICAL COURSE

Histopathologic examination demonstrated an intradermal tumor nodule composed of groups of clear cells with abundant clear cytoplasm and oval nucleus in a glandular configuration. The stroma was highly vascular, with many extravasated red blood cells. The findings were consistent with metastatic renal cell carcinoma. Subsequent computed tomography of the abdomen revealed a huge heterogeneous mass in the left kidney, consistent with renal cell carcinoma (Figure 3). A complete blood cell count revealed only mild anemia (hemoglobulin, 12.4 g/dL [reference range, 13.5-17.5 g/dL]). No gross or microscopic hematuria was noted. The results of all other laboratory tests were within normal limits.

Figure appears in full text version. Figure 3.

The patient underwent radical nephrectomy of his left kidney. Grossly, a 7.5 x 6.0 x 4.3-cm yellow tumor was seen over the lower lobe of the left kidney. Microscopically, the tumor was revealed to be a clear cell adenocarcinoma in a highly vascular stroma, with a . . . [Full Text of this Article]

DISCUSSION

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Arch Dermatol. 2004;140(11):1393-1398.
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