Renal cell carcinoma

Case contributed by Dr Asmaa Naguib

Presentation

Left renal colic and hematuria of 1 week duration

Patient Data

Age: 45
Gender: Male
CT

Axials and coronals

CT stone protocol; beside demonstrating left renal stones; it shows a large lower polar left renal mass. Following IV contrast media and triphasic CT acquisition, this mass shows avid arterial enhancement and delayed wash out, with central area of non-enhancement. No invasion to left renal artery, left renal vein or left ureter; is demonstrated. 

CT

Arterial 3D reconstruction

No invasion of the left renal artery.

Pathology

Pathology report

The mass was pathologically proved to be renal cell carcinoma of Clear Cell type

Case Discussion

This 45 year old man was sent to our institution for CT stone protocol following a 1st time in life painful hematuria, searching for stones, however; the CT stone protocol; beside demonstrating left renal stones; it showed a large lower polar left renal mass. Following IV contrast media and triphasic CT acquisition, this mass showed avid arterial enhancement and delayed wash out, with central area of non-enhancement. No invasion to left renal artery, left renal vein or left ureter; was demonstrated.  Radical nephrectomy was done to the left kidney, and the mass was pathologically proved to be renal cell carcinoma of Clear Cell type.

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Case information

rID: 37386
Case created: 5th Jun 2015
Last edited: 3rd Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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