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<p>Procedure: Nephroureterectomy</p><p>Tumor Site: Kidney (lower)</p><p>Tumor Focality: Unifocal</p><p>Tumor Size: 5 cm (greatest dimension)</p><p>Histologic Type: Undifferentiated malignant round cell tumor</p><p>Histologic Grade: high grade</p><p>Tumor Extent: Tumor invades renal sinus fat and perinephric fat. Renal pelvis is not infiltrated by the tumor. </p><p>Margins: All margins negative for tumor (including ureteric margin). </p><p>Lymphovascular Invasion: present</p><p>Regional Lymph Nodes: Not submitted</p>
<p class="ql-align-justify">Left renal lower pole lesion extending to upper ureter, infiltrating lower major calyx and lower inferior renal pelvic wall.</p>
<p class="ql-align-justify">The specimen is received designated as "Left Kidney and Bladder" and consists of a left kidney measuring 10.5x6.5x5 cm, with an attached ureter 13 cm in length and a bladder cuff measuring 1.8x1.5 cm. Serial sectioning reveals a solid, firm, creamy-coloured mass measuring 5x4.5x3.8 cm. The mass is surrounded by fat tissue measuring 8x2.3 cm.</p>
<h3><strong><em><u>Left nephroureterectomy for lower pole mass</u></em></strong>:</h3><ul><li><strong>Unclassified malignant round cell tumor recommend for subtyping by marker study (GATA-3, CK, PAX8, P63, CK7). </strong></li></ul>
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