Renal cell carcinoma

Case contributed by Mohammadtaghi Niknejad
Diagnosis almost certain

Presentation

Work up for hematuria.

Patient Data

Age: 45 years
Gender: Male
ct

A 75 x 70 mm well-defined low enhancing mass is seen at the upper pole of the left kidney. There is no extension to the adrenal gland or left renal vessels. Infiltration is seen in the pelvicalyceal system.

A few enlarged lymph nodes are noted in the left renal hilum and paraaortic area. 

Case Discussion

Left renal mass, pathology proved renal cell carcinoma (RCC) with pelvicalyceal infiltration and regional enlarged lymph nodes.

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