Monday 16 May 2016

Renal cell showing ‘perinuclear halo’ & “Plant like” structure | Crack PGIMER 22 MAY 2016


Renal cell carcinoma histopathologicaly showing ‘perinuclear halo’ & “Plant like” structure in malignant cells 

A. Clear cell tumor 
B.Adenocarcinoma
C. Collecting duct. Ca.
D. Oncocytoma
E. None


The Answer is. e.(None)
• The histopathological changes — “perinuclear halo” ‘Plant like’ is found in chromophobe renal carcinoma.
Histopathological change of other renal cell carcinoma:
• Clear cell Carcinoma:Growthpattern varies from cord like to tubular
—Cells are polygonal or rounded with clear or granular cytoplasm with glycogen and lipid.
— Solid as wall as cystic areas, have delicate branching vasculature.
— Some have marked nuclear atypia with bizarre nuclei and giant cells.
• Papillary :— Papillary arrangement of cells
— Interstitial foam cells,Psamomma bodies
• Collecting duct Ca :aka bellini duct cancer / tubulocystic carcinoma. Has strong association with the transitional cell carcinoma. Histology:bubble wrap appearance.

• Oncocytoma :Eosinophillic cells with abuudant mitochondria.