January 2018
Author: Angela Chong, MD, Norman Chan, MD, Issam bin Jajez, MD,
Dept Anatomic pathology, Singapore General Hospital.

Reviewer: ??

The patient is an adult female, with diabetes, hypertension and hyperlipidemia who presented with gross hematuria. Urine examination did not show any abnormality. Radiological examination including CT intravenous pyelogram did not show any abnormality of the kidney, ureters or bladder but showed presence of enlarged retroperitoneal lymph nodes. A CT guided FNA and biopsy were performed.

Fig 1A. DQ	Fig. 1B DQ
Fig. 1C DQ	Fig. 1D DQ
Fig. 2A PAP	Fig. 2B PAP
Fig. 2C PAP	Fig. 2D PAP

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