Renal cell carcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right flank pain and hematuria in urine analysis test

Patient Data

Age: 55
Gender: Male
CT

Large mass at upper pole of the right kidney which after contrast injection, heterogeneous enhancement is seen on both parenchymal and excretory phase. There is no evidence of collecting system or renal artery and vein involvement. 

Case Discussion

Renal cell carcinoma is classically present with hematuria, flank pain and palpable mass in 10-15% of patients. CT is usually used to diagnose and stage renal cell carcinomas. 

Renal oncocytoma is a relatively benign tumour and the importance of this lesion is the difficulty in pre-operatively distinguishing it from renal cell carcinomas.

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Case information

rID: 32413
Case created: 25th Nov 2014
Last edited: 1st Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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