Renal cell carcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right flank pain and hematuria.

Patient Data

Age: 50 years
Gender: Male
CT

 An 88×66 mm heterogeneous enhancing partially exophytic mass is noted at superior aspect of right kidney. There are no sign of local invasion to adjacent structures, no vascular extension and no regional lymphadenopathy. Malposition of left kidney is evident with anteriorly rotated hilum.
The prostate gland is enlarged.
Several lymphadenopathies with central necrotic changes are seen at left para-iliac regions with maximum short axis diameter of 40 mm. 
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

The patient presented with macroscopic hematuria and right flank pain which are two of the classic presentation triad of renal cell carcinoma, consisting of hematuria, flank pain and a palpable mass.

Correlated with the imaging findings, the patient was diagnosed with renal cell carcinoma. Radical nephrectomy was performed. Histopathology confirmed the diagnosis of renal cell carcinoma.

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Case information

rID: 85783
Published: 12th Jan 2021
Last edited: 12th Jan 2021
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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