Renal cell carcinoma

Case contributed by Dr Hani Salam

Presentation

Painless haematuria.

Patient Data

Age: 70
Gender: Female
Ultrasound

Renal tract ultrasound

A large soft tissue mass appears to arise from / involve the lower pole of the left kidney. On colour Doppler examination the mass demonstrates extensive internal vascularity. Additionally an anechoic 2cm lesion is present in the upper pole, without solid component. 

CT

Two phase renal CT

A large heterogenous mass lesion is seen predominantly involving lower pole of left kidney. The mass shows extensive enhancement during corticomedullary phase, with heterogenous enhancement during parenchymal phase with cystic and necrotic areas. A tongue of tumour extends in to the very lateral aspect of the left renal vein. 

Incidental gallstones, calcified liver granuloma, adrenal lesion, right adnexal cyst and vertebral haemangioma are noted. 

Case Discussion

This case illustrates typical appearances of a large (pathologically proven) clear cell renal cell carcinoma.

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Case information

rID: 8701
Case created: 23rd Feb 2010
Last edited: 31st Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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