Acephalic Acardiac Fetus

Acardia (Twin Reversed Arterial Perfusion Sequence) is a rare and one of the most bizarre congenital malformations occurring in multiple pregnancies. It affects 1 in 35,000 pregnancies. Usually one twin shows absence of heart and other is structurally normal. The acardiac twin presents with many bizarre anomalies such as lack of head, thorax and upper extremities. We report a case of autopsy study of acardiac twin with severe malformations. The case has been presented for its rarity

Chromophobe Renal Cell Carcinoma

Renal cell carcinoma is the most common neoplasm of the kidney comprised of different histological variants. Chromophobe renal cell carcinoma (ChRCC) is a rare subtype of renal cell carcinoma (RCC) mainly diagnosed in the sixth decade of life. It is important to identify this entity because it has significantly better prognosis than the clear cell (conventional) and papillary renal cell carcinomas. The chromophobe renal cell carcinoma should be differentiated from oncocytoma and clear cell carcinoma. We report a case of a 70 year-old male who presented with a six month history of hematuria, left sided flank pain and a palpable non-tender lump in the left lumbar region. On radiology, the possibility of a left renal neoplasm was raised. A left radical nephrectomy was done and histopathological diagnosis of Type 2 (mixed) chromophobe renal cell carcinoma was given. We present this case owing to its relative rarity of incidence, difficulties encountered and differential diagnoses to be considered during diagnosis as the prognosis and management protocols differ with different variants