Features

Architecture

• Cellular smears
• Papillary with fibrovascular cores

Cellular features

• Pseudostratified large pleomorphic cells
• Foamy macrophages
• Hemosiderin pigmentation

Nuclear features

• Large round to irregular nuclei
• Fine to coarse chromatin
• Prominent nucleoli

Background

• Hemorrhagic
• Necrotic

Ancillary studies

• Express cytokeratin, EMA, CD10, RCC, AMACR; vimentin +/- ; negative for CD117, CK7
• May have Trisomy chromosome 7, 16 or 17, loss of Y

Reference

Granter SR et al. Cancer. 1998 Oct 25;84(5):303-8.