Renal cell carcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Left flank pain and hematuria.

Patient Data

Age: 60 years
Gender: Female

A large exophytic mass is seen in the lower pole of the left kidney, causing a mass effect on the collecting system. A few tiny calcified foci are noted within the mass. After IV contrast media administration, it enhances heterogeneously because of necrotic components.

A few small, simple cortical cysts are seen in the right kidney.

Uterus and ovaries are not seen due to prior resection.

Case Discussion

The patient underwent a left nephrectomy, and histopathology evaluation confirmed renal cell carcinoma (clear cell type). 

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