Renal cell carcinoma - small

Case contributed by Dr MT Niknejad

Presentation

Work up for hematuria.

Patient Data

Age: 55 years
Gender: Male

A 16 mm partially exophytic low enhancing mass is noted at anterior aspect of mid portion of left kidney. 
The prostate gland is enlarged.
Degenerative changes as osteophytes are seen at the lumbar spine.
Scoliosis with right ward convexity is present at lumbar spine.

Case Discussion

The patient underwent left partial nephrectomy and histopathology revealed renal cell carcinoma of clear cell type. The tumor was staged as T1a N0 M0.
Treatment of renal cell carcinomas is usually with radical nephrectomy. However, in elderly patients or those with co-morbidities, and especially those with smaller tumors then organ-sparing treatment can be entertained.

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