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A 57-year-old woman presented with hematuria. Radiographic studies
revealed a left renal mass, and a radical nephrectomy was performed.
The enlarged kidney was almost entirely replaced by an ovoid,
14.5 cm long, 8.5 cm diameter, firm tumor having a lobulated,
pale gray-tan cut surface with areas of yellow-green necrosis.
There was no gross evidence of vascular invasion or of renal
pelvic extension. The tumor cells were smooth muscle actin (+)
and cytokeratin (-).
The master list with the correct answer
• Angiomyolipoma
• Inflammatory myofibroblastic tumor
• Leiomyoma
• Leiomyosarcoma
• Sarcomatoid renal cell carcinoma
• Sarcomatoid urothelial carcinoma
• Solitary fibrous tumor
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