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A 53-year-old woman was involved in a motor vehicle accident. Upon evaluation at the emergency room, a computed tomography (CT) of the abdomen revealed a 7.0 cm mass in the lower pole of the right kidney. The patient had a right nephrectomy. A well-circumscribed tumor measuring 8.0 x 7.0 x 6.5 cm was confined within the kidney extending from the renal cortex to the renal medulla sparing the renal vein. The solid cut surface was grey-white with multiple small hemorrhagic foci.
The master list with the correct answer
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Angiomyolipoma
• Collecting duct carcinoma
• Juxtaglomerular cell tumor
• Metanephric adenoma
• Mucinous tubular and spindle cell carcinoma of kidney (MTSCC)
• Renal cell carcinoma with sarcomatoid differentiation
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