Pre-operative diagnosis: Right renal tumor.

Procedure: Laparoscopic right nephrectomy.

Diagnosis: Clear cell renal cell carcinoma. Fuhrman nuclear grade 1.

Tumor size= 8 x 7.5 x 5 cm. Tumor is unifocal. Focal capsular invasion is seen. Margins (renal vessels, perinephric fat & ureter) are negative. No lymphovascular or perineural invasion seen. No adrenal gland identified. Background of focal chronic interstitial nephritis.

Pathologic staging:  T2a, Nx, Mx