Left renal carcinoma (T3a) with varicocele
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LIF pain and frank hematuria. Urinary frequency over last month. Urine dip - blood only
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9.6cm left lower pole renal mass consistent. The mass invades the renal hilum and the renal pelvis with associated hydronephrosis.
The renal vein is expanded by tumor occluding the origin or the left testicular vein with a resultant left testicular varicocele.
Simple right renal cyst.
No significant infra diaphragmatic lymphadenopathy. Normal adrenals. No metastases.
This is a T3a renal cell carcinoma due to its extension into the left renal vein.
The interesting aspect of this case is the tumor extension into the vein has caused occlusion of the left testicular vein with a resultant varicocele. The traditional teaching on identifying a left sided varicocele has been to examine for a renal tumor. A fellowship classic for MRCP or FRCS.
Here, you have a radiological example to prove it.
2 articles feature images from this case
16 public playlists include this case
- Chesterfield Self Isolation 29 by Ian Bickle ◉
- uro by Stephanie Secker
- VIVA 2B by Islam Ahmmed
- GU by Navtej Singh Chhibber
- Genitourinario by Napoleón Gallifa
- Body CT by Simonas Jesmanas
- Vas-2 by tuanleminh ◉
- GU by Naveed Ahmad
- Male reproductive by Mohammed Bilal Mohammed Numan
- GU by Sean Sweeney-Knapp
- 2B cases by Hend Komber
- CASES 2 by Dr. Yash jain
- Vas-1 by tuanleminh ◉
- Abdo E film by Anthony Adeleke Adewumi ◉
- GUT (FCPS-II VIVA PLAYLIST) by Kanwal Laique
- Vasc by Rahim Akram