Clear cell renal cell carcinoma

Discussion:

CT study revealed a large mass in left kidney with a mixed hyperattenuation hypervascular soft tissue components and hypoattenuation areas indicative of necrotic tissue.

A core-needle biopsy was request by oncologist. The procedure was made with patient in ventral decubitus, local anesthesia and one shot with 18G core-needle, without any complications. 

Histopathological study revealed a clear cell renal cell carcinoma.

Surgery approach proposed. 

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