Presentation
Left flank pain, burning micturition and on and off fever for 3 weeks. No hematuria.
Patient Data
A well-defined soft tissue mass measuring 3.1 x 3.8 cm is seen arising from the mid pole of left kidney. No cystic areas or calcifications are seen in it. Increased vascularity is seen in it on color Doppler ultrasound examination.
A well-defined homogenous exophytic soft tissue density measuring 4.4 x 3.8 cm is seen at mid pole of left kidney. It shows mild enhancement on the post-contrast study. No mural thickening, calcification or central scar is seen. Perinephric fat planes are clear. Renal vein & IVC are patent. No loco-regional or distant metastases is seen.
Case Discussion
Procedure: Laparoscopic left partial nephrectomy.
Diagnosis: Chromophobe renal cell carcinoma. Size: 2.5 cm. Surgical margins: Free from carcinoma. Negative for lympho-vascular invasion. Pathologic stage: pT1a, pNx, pMx.