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. 2017 May 12;18:53. doi: 10.1186/s12881-017-0416-5

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© The Author(s). 2017

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — CT imaging of the patient and macroscopic and histopathological analysis of the kidney tumor tissue a CT scan of the abdomen shows massive enlarged kidneys with bilateral tumorous lesions. b and c CT scan of the thorax reveals numerous pulmonary cysts (b, red arrows) and several pulmonary lesions suspicious for metastastic disease (c, red arrow). d Macroscopic picture of the left kidney shows that the whole organ is interspersed with nodular tumors. e Beside the nodular growing chromophobe carcinoma (right side) a second tumor component consisting of very small tumor cells can be detected (left side of the panel, bar = 100 μm). f these small tumors cells show nuclear pleomorphism with increased and atypical mitosis (bar = 50 μm)