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Renal cell carcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Right flank pain.

Patient Data

Age: 60 years
Gender: Male

99/05/30

ct

Multiple intrapulmonary nodules are seen inferring metastasis.

A large hetero enhancing mass is seen at right kidney accompanied by perirenal fat infiltration and multiple dilated perinephric collateral vessels. The mass is extended to right renal vein but there is no sign of extension to IVC.

The prostate gland is enlarged.

pathology

Right nephrectomy and adrenalectomy performed for the patient and histopathology evaluation confirms renal cell carcinoma with vascular extension.

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