Metastatic Adenocarcinoma

66-year-old female with advanced gastric cancer, stroke, and respiratory distress.

Autopsy case.

Micro: see photos. H & E stain. 4x to 40x

90 year old female with left cheek mass.

Procedure: Excisional biopsy:

Gross: The specimen consists of a resected skin ellipse, measuring 2 x 1.8 cm. in size with a thickness of 1.2 cm.

75-year-old female with right kidney with hydronephrosis and ureteral stricture, rule out cancer.

Procedure: Right kidney and ureter, radical nephrectomy.

67-year-old female with multiple metastatic lesions in lung and liver.

62-year-old female with "perforated appendix".

Gross: The specimen consists of grossly perforated, clusters of tumor nodules ("appendix") measuring about 9 cm.

This is a papillary clear cell carcinoma with a high degree of vascularity. The CD-10, vimentin, cytokeratin (AE 1/3), and EMA all stain positively.