Renal cell carcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Flank pain and hematuria.

Patient Data

Age: 75 years
Gender: Female
CT

 A 76×57×54mm mass is seen in the left kidney. The neoplasm has a similar density to normal renal parenchyma on non-enhanced CT scan. After IV contrast media injection, the attenuation value increased from 26HU to 117HU. Extension into the renal pelvicalyceal system is present. Mild surrounding fat stranding is noted. 
A 20mm contrast filled diverticulum is present at the medial aspect of the second part of the duodenum.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L4 on L5 is present.

Case Discussion

Left renal mass, which was a pathology proven renal cell carcinoma. Renal cell carcinoma is a primary malignant adenocarcinoma derived from the renal tubular epithelium and the most common malignant renal tumor

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