Renal cell carcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Work up for hematuria.

Patient Data

Age: 55 years
Gender: Female
ct
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
parenchymal phase
This study is a stack
Sagittal renal
parenchymal phase
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Info

A 40×32 mm well-defined oval-shaped low enhancing mass with incomplete peripheral ring calcification is noted at mid-portion of the right kidney. There is no sign of local invasion to adjacent structures and no obvious vascular extension. Perinephric fat is intact. No regional lymphadenopathy could be seen.
A few parapelvic cysts are seen at left kidney less than 20mm.
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Right renal mass; pathology proven renal cell carcinoma.
CT is frequently used to both diagnose and stage renal cell carcinomas. Approximately 30% demonstrate some calcification 1.

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