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Neuroendocrine renal carcinoma occurring in a HSK. (A) Axial-enhanced MDCT image in a patient presenting with a palpable abdominal mass shows a large heterogeneous enhancing mass (M) originating from an enhancing isthmus (arrow) that lies anterior to the aorta. (B) Photograph of the gross specimen after isthmectomy and tumour resection shows a large circumscribed tumour and isthmus (arrows).
