Presentation
Left renal colic and hematuria of 1 week duration
Patient Data
Age: 45 years
Gender: Male
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CT stone protocol; beside demonstrating left renal stones; it shows a large lower polar left renal mass. Following IV contrast media and triphasic CT acquisition, this mass shows avid arterial enhancement and delayed wash out, with central area of non-enhancement. No invasion to left renal artery, left renal vein or left ureter is demonstrated.
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The mass was pathologically proved to be renal cell carcinoma of Clear Cell type
Case Discussion
This clear cell carcinoma of the kidney was found as an incidental finding on a CT study initially booked for the investigation of hematuria on the assumption of stone disease.