19 October 2020 : Case report
Acquired Cystic Disease-Associated Renal Cell Carcinoma Extending to the Renal Pelvis Mimicking Urothelial Carcinoma on Computed Tomography (CT): Two Case Reports
Mistake in diagnosis
Hiromi Edo1ABCDEF*, Yohsuke Suyama1ADEF, Hiroaki Sugiura1AEF, Kenichiro Ojima2EF, Keiichi Ito2ABEF, Kosuke Miyai3BDEF, Susumu Matsukuma3CDEF, Hiroshi Shinmoto1ABCDEFDOI: 10.12659/AJCR.926630
Am J Case Rep 2020; 21:e926630
Figure 6. Magnetic resonance imaging of an acquired cystic disease-associated renal cell carcinoma in the 67-year-old man in Case Report 2. (A) An axial T1-weighted image shows a left pelvic tumor with heterogeneous low signal intensity (white arrow). (B ,C) Axial (B) and coronal (C) T2-weighted images show a left pelvic tumor with heterogeneous low to slightly high signal intensity, as indicated by the white arrow. (D) A diffusion-weighted image (DWI) demonstrates a left pelvic tumor with renal parenchyma-equivalent signal intensity (white arrow). The yellow arrow indicates acquired renal cysts, which have different signals on T1- and T2-weighted images and DWIs, depending on their contents, including hemorrhage and abundant protein.