Clear-cell papillary renal cell carcinoma. (A1–A4) In clear-cell papillary RCC (CCPRCC), histological findings include multilobulated small masses (A1) entirely composed of well-differentiated simple tubular structures mimicking distal tubules (A2) with intraluminal tufts (A3) and short papillary fronds in a glomeruloid pattern (A4). (B–D) Immunohistochemical profiles. Cytokeratin 7 is diffusely and strongly positive (B), Carbonic anhydrase IX is positive with cup-shaped pattern, (C), Alpha-methylacyl-CoA racemase is generally negative except for macrocystic spaces (D), and CD10 as a saw-tooth luminal pattern (E). Scale bars = 1 mm.