18th June 2026 at 2:30 p.m.
Venue
6th floor Convention Hall,
Kokilaben Dhirubhai Ambani Hospital, Andheri (West).
Cases contributed by Kokilaben Dhirubhai Ambani Hospital
Case 1
Case 1
Case 1
44-year-old female. History of pain in abdomen since 1 month. CT abdomen pelvis: Large multiloculated left ovarian cystic mass with multiple peritoneal and omental nodular enhancing lesions. Serum CEA, β-HCG, AFP: Within normal limits. Serum CA19.9: 1375 U/mL, Serum CA125: 121 U/mL. On gross: Left ovarian mass measuring 18 x 13 x 11 cm, capsule intact. Cut surface: Solid cystic containing mucinous material with thick gritty fibrous septae, necrosis seen.
2 HE stained slides & 5 unstained slides have been provided.
Case to be discussed by Breach Candy Hospital / Metropolis / HNCII / Saifee Hospital
-----------------------------
Case 2
Case 1
Case 1
A 31-year old female patient presented with 10-month history of right ankle pain. Initial radiographs of the right foot demonstrated a lytic, marrow-replacing lesion within the calcaneal body, measuring 4.7 cm in the anteroposterior dimension and 2.4 cm in width.
MRI revealed a well-defined cystic lesion with heterogenous enhancement .Curettage sample was sent for histopathology.
1 HE stained slide and 5 unstained slides have been provided.
Case to be discussed by Tata Memorial Hospital
-----------------------------
Case 3
Case 1
Case 3
A 56-year-old male, presented with giddiness and intermittent headache. MRI shows a well defined extra-axial solid-cystic lesion in the posterior fossa in the midline and bilateral paramedian aspects measuring 4.5 x 3.7 x 2.2 cm. It shows a well defined solid nodule measuring 3.3 x 1.7 x 1.5 cm and a multiseptated cystic component within.
1 HE stained slide & 5 unstained slides have been provided.
Case to be discussed by Hinduja Hospital / Lilavati Hospital / Nanavati Hospital
-----------------------------
Case 4
Case 5 (Spot)
Case 3
A 56-year-old male graft nephrectomy specimen, operated 4½ months post transplant. History of renal transplant in January 2026. The wife was the donor (aged 50 year).
Native disease was chronic kidney disease secondary to diabetes and hypertension.
1 HE stained slide & 5 unstained slides have been provided.
Case to be discussed by GMC & Sir J.J. Hospital / Terna Medical College.
-----------------------------
Case 5 (Spot)
Case 5 (Spot)
Case 5 (Spot)
A 56-year-old female. History of hypertension. CT abdomen: Detected right renal mass. 2.7 x 2.5 cm well defined medullary lesion involving inter and lower polar region of right kidney. Right partial nephrectomy has been performed. On gross: A fairly circumscribed, solid tan brown tumor with a central scar is identified measuring 1.8 x 1.7 x 1.6 cm. Areas of hemorrhage and necrosis are not seen. The tumor does not breach the renal capsule and does not infiltrate into the perinephric fat.
1 HE stained slide has been provided.
-----------------------------
Cases contributed by Agilus Diagnostics
Case 6
Case 8A
Case 6
A 46 years male presented with history of renal mass with suspected malignancy.
PET-CT : The study reveals an ill-defined FDG and (SUV max : 21.96) exophytic heterogeneously enhancing soft tissue mass lesion arising from the posteromedial of the lower pole of right kidney measuring approximately 2.9 x 3.6 cms - suggestive of primary malignant pathology likely transitional cell carcinoma of kidney.
No scan evidence of distant metastasis.
Gross : Robot assisted right partial nephrectomy specimen measures 3.2 x 2.6 x 2.2 cms. Outer surface capsule is intact.
Cut section show a greyish brown to white tumor measuring 2.8 x 2.5 x 2.0 cms.
Primary HPE differential diagnosis :- 1) Eosinophilic variant of Renal cell carcinoma. 2) Oncocytic lesion.
Margins were clear.
- One digitalized image shared and 7 unstained sections have been provided.
- Case to be discussed by TNMC (Nair Hospital) / Rajeev Gandhi Medical College.
-----------------------------
Case 7
Case 8A
Case 6
A 60-year-old female presented with a left breast lump of several months duration.
Mammography and ultrasonography revealed a suspicious irregular mass lesion in the left breast.
Wide local excision of the lesion was performed.
Grossly, the specimen measured 6 × 5.5 × 3 cm with attached skin measuring 3.5 × 2 cm. On serial sectioning, a grey-white firm tumour measuring 3 × 2.5 × 2 cm was identified. The lesion appeared grey-white firm with focal gritty/hard areas on cut section.
- One digitalized image shared and 7 unstained sections have been provided.
- Case to be discussed by Sion Hospital / Pd. D. Y. Patil Medical College.
-----------------------------
Case 8A
Case 8A
Case 8A
A 58 years female, right radical nephrectomy done for renal mass.
CT abdomen : Heterogenously enhancing mass lesion in right renal upper mid pole with renal capsular breach, extension into perinephric space and enhancing renal vessels in hilar region. The mass measures 5.3 x 5.4 cm. No renal vessel or IVC thrombus noted.
Multiple enlarged nodes in aortocaval, right renal hilar region, largest measuring 2.6 x 2.1 cms.
Few ill-defined tiny nodular lesions in bilateral lung subpleural location.
Enlarged supraclavicular nodes in left side.
Gross examination - Specimen 12 x 7.5 x 5.5 cms grey white, solid necrotic and hemorrhagic mass involving renal sinus, hilum, measuring 7 x 7 x 4 cms.
-----------------------------
Case 8B
Case 8B
Case 8A
A 13 years old female with right renal mass 7 x 5 x 5 cms predominantly solid mass involving renal pelvis and midpolar region.
Underwent radical right nephrectomy.
- Two digitalized images shared and 5 unstained sections of each have been provided.
- Case to be discussed by Raheja Hospital / K.J.Somaiya Medical College.
-----------------------------
Case 9
Case 8B
Case 10
A 65-year-old male presented with a large, non-healing ulceroproliferative lesion involving the left upper limb, associated with a palpable swelling in the left axillary region measuring 8.5 × 6.0 × 2.0 cm. An incisional biopsy was obtained from the axillary mass.
- One digitalized image shared and 7 unstained sections have been provided.
- Case to be discussed by Bombay Hospital / Jaslok Hospital / H. N. Reliance Hospital
-----------------------------
Case 10
Case 8B
Case 10
A 77 year old female, a case of carcinoma of unknown primary has multiple enhancing mass in the liver, omentum, hepatorenal pouch, surface of bowel loops and a large pelvic mass.
Serum AFP levels 2140 ng/mL.
Clinical Impression : ? Hepatocellular carcinoma.
Site of biopsy : Falciform ligament mass biopsy.
- One digitalized image shared and 7 unstained sections have been provided.
- Case to be discussed by KEM Hospital / MGM Hospital
-----------------------------