Clear cell renal cell carcinoma

Case contributed by Chia Wei Oh
Diagnosis certain

Presentation

Palpable mass on left side of abdomen.

Patient Data

Age: 60 years
Gender: Female

This CT angiogram of the abdomen/pelvis demonstrates a horseshoe kidney with a solid mass originating from the lower pole of the left kidney. Hydronephrosis is also noted on the left kidney.

Case Discussion

This CT angiogram was performed as a pre-operative assessment. The patient subsequently had a left heminephrectomy. Histology showed T3A sarcomatoid renal cell tumor Fuhrman Grade 3. 

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