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Figure 2: H and E (a-d) Immunohistochemistry (e-h) Photomicrographs of Case 1 (a) The tumor shows presence of eosinophilic cells (×200). (b) Large voluminous clear cells (×200) with (c) moderate nuclear pleomorphism seen (×200). (e) Largely “Type 2 papillary” like areas (×100). On immunohistochemistry, the tumor is (e) cytokeratin 7 negative (×100) while α-methyl-acyl-CoA-racemase (f) and Cytokeratin 20 (g) are diffusely expressed (×100). (h) Melan A shows focal moderate expression (×200)

Figure 2: H and E (a-d) Immunohistochemistry (e-h) Photomicrographs of Case 1 (a) The tumor shows presence of eosinophilic cells (×200). (b) Large voluminous clear cells (×200) with (c) moderate nuclear pleomorphism seen (×200). (e) Largely “Type 2 papillary” like areas (×100). On immunohistochemistry, the tumor is (e) cytokeratin 7 negative (×100) while α-methyl-acyl-CoA-racemase (f) and Cytokeratin 20 (g) are diffusely expressed (×100). (h) Melan A shows focal moderate expression (×200)