Renal cell carcinoma

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Renal mass for evaluation

Patient Data

Age: 70 years
Gender: Male
x-ray
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Info

Increased density over the right lumbar region.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial renal
cortical phase
This study is a stack
Axial renal
parenchymal phase
This study is a stack
Axial renal
excretory phase
This study is a stack
Coronal renal
cortical phase
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Info

Large right renal mass lesion involving the middle and lower poles with an exophytic component. It is invading the pelvicalyceal system. It shows heterogeneous post contrast enhancement. The upper calyx is compressed with mild dilatation and delayed contrast excretion. Preserved opacification of right renal vein and IVC.

The prostate is markedly enlarged raising the bladder base.

Bilateral direct inguinal hernias, larger on right side.

Case Discussion

Path proven renal cell carcinoma conventional (clear cell) type.

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