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.