24389              RENAL METASTATIC DEPOSITS AND CYST

Since birth this 42-year old man had the features of Apert's syndrome - turret skull and syndactyly of hands and feet. He had a proven carcinoma of the left lung which presented with haemoptysis. He died with metastatic spread through the body despite radiotherapy.

The specimen shows a cut kidney 16 cms in length with a large simple unilocular cyst 5 cms in diameter on the lateral surface of the upper third. There is also a large metastasis 9 x 6 cms on the anterior surface of the lower pole on the back of the specimen. This is seen in section. There are several smaller metastases up to 2 cms in diameter at the upper pole. Histology was consistent with secondary deposits from an anaplastic carcinoma of the lung.