Renal cell carcinoma

Case contributed by Dr Aliakbar Sahraei

Presentation

This 75 year old male who came with an abdominal mass, flank pain and gross hematuria.

Patient Data

Age: 75
Gender: Male
Modality: CT

Contrast enhanced CT demonstrates a large enhancing mass arising from the left kidney. The mass shows central necrotic areas as well as increased vascularity. The mass invades the abdominal wall.

Case Discussion

Renal cell carcinomas (RCC) are primary malignant adenocarcinomas derived from the renal tubular epithelium and are the most common malignant renal tumour. They usually occur in 50-70 year old patients and macroscopic haematuria occurs in 60% of the cases.

On imaging they have a variety of radiographic appearances, from solid and relatively homogeneous to markedly heterogeneous with areas of necrosis, cystic change and haemorrhage.

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Case Information

rID: 42842
Case created: 10th Feb 2016
Last edited: 6th Dec 2016
Inclusion in quiz mode: Included

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