Metastatic renal cell carcinoma

Case contributed by Dr MT Niknejad

Presentation

Work up for abdominal pain and gross hematuria.

Patient Data

Age: 50 years
Gender: Male

A 50×42 mm ill defined low enhancing mass is noted at the upper pole of the left kidney.

Several lymphadenopathy with a maximum SAD of 25 mm are noted at the left para-aortic regions. Most of them show internal necrotic changes.

Multiple low enhancing masses are seen at the liver less than 25 mm.

The prostate gland is enlarged. 

Degenerative changes as osteophytosis are seen at the lumbar spine.
L5 vertebra is sacralized. 

Case Discussion

Left kidney mass; pathology proved renal cell carcinoma (clear cell type) with para aortic lymphadenopathy and hepatic metastasis.

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