Renal cell carcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right flank pain and fullness.

Patient Data

Age: 80 years
Gender: Male
CT

The gallbladder is not seen at anatomical location due to prior resection. Intra and extra hepatic bile ducts are dilated and CBD measured 18mm in caliber. 

A 100×80 mm well defined hetero dense partially exophytic mass is present at right kidney which shows heterogeneous enhancement with large area of central necrosis. There is no sign of local invasion to adjacent structures and no vascular extension. Neo vascularization is seen around the mass. No lymphadenopathy is noted. 

The prostate gland is markedly enlarged.

Case Discussion

The patient underwent right nephrectomy and histopathologic evaluation confirms renal cell carcinoma (clear cell subtype).

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