Section Editor: Dharam M. Ramnani, MD

Virginia Urology, Richmond, VA, USA

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Image Description

Mixed epithelial and stromal tumor (MEST): The lower right portion of the image shows periphery of the tumor composed of dense fibroblastic stroma resembling ovarian stroma that is sharply demarcated from the normal kidney (upper left). The patient was a 69 y/o female who presented with an abdominal mass. She was found to have a multicystic lesion in her left kidney and underwent nephrectomy. The final diagnosis was MEST of the kidney.

Image 22 of 40