A 32-Year-Old Woman Is Evaluated for Pain and a Palpable

question 28

Multiple Choice

A 32-year-old woman is evaluated for pain and a palpable mass in the right flank.  Imaging studies reveal a large mass arising from the right kidney and similar smaller masses in the left kidney.  Surgery to remove the right-sided tumor along with the right kidney is performed; a cross section of the specimen is shown in the image below. Histopathologic evaluation shows that the mass is composed of fat, smooth muscle, and blood vessels.  This patient is most likely to have which of the following additional findings?

• A)Bilateral acoustic neuromas
• B)Brain hamartomas and ash-leaf skin patches
• C)Capillary angiomas of the face and choroid
• D)Cerebellar hemangioblastomas and liver cysts
• E)Multiple peripheral neurofibromas and café-au-lait skin spots
• F)Multiple telangiectasias of the skin and mucosa

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Definitions:

Savior

A person who rescues another from danger or harm.

Positive Symptoms

In psychopathology, the presence of abnormal behaviors or experiences, such as hallucinations or delusions, typically associated with schizophrenia.

Negative Symptoms

Features typically associated with schizophrenia, characterized by the absence or diminution of normal functions, such as blunted affect or social withdrawal.

Schizophrenia

A serious mental disorder characterized by disturbances in thought, perception, and behavior, leading to a disconnection from reality (psychosis).