Renal cell carcinoma

Case contributed by Dr Hani Makky Al Salam

Presentation

Left flank pain.

Patient Data

Age: 30 years
Gender: Female
X-ray

There is paucity of bowel gas at the left side of the abdomen with loss of clear definition of the left psoas muscle. 

CT

A left renal large mass lesion is seen exophytic from the lower pole with a heterogeneous post-contrast enhancement. It is invading the pelvicalyceal system. It has related large renal hilar metastatic lymph nodes, one of them shows central breakdown.

Case Discussion

Whenever a young patient is presented with flank pain, renal calculi are the primary suspect, cause of that a non-enhanced CT would be the primary line of investigation, as what had been done in this case. But once a tumor is detected, proceeding with a contrasted study must ensue.

Path proved clear cell renal cell carcinoma.

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Case information

rID: 14768
Published: 27th Aug 2011
Last edited: 25th Apr 2021
Tag: kidney
Inclusion in quiz mode: Included