Renal cell carcinoma: T2 stage

Case contributed by Dr Ian Bickle

Presentation

This patient was admitted with complaints of right flank pain and weight loss.

Patient Data

Age: 70 years
Gender: Male
CT

Large solid cystic mass in the right kidney involving the upper and midpoles, measuring greater than 7cm.

No invasion or extension beyond Gerota's fascia.  No renal vein involvement.

Small renal hilar lymph node.

Case Discussion

Renal cell carcinoma, when presenting symptomatically, can be very large at the time of diagnosis.

It is typically a heterogenous solid mass, but can have varying degrees of cystic change within the tumour mass.

Those larger than 7cm, but not involving Gerota's fasia are given assigned a T2 stage in the TMN classification.

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Case information

rID: 26207
Case created: 6th Dec 2013
Last edited: 6th Mar 2016
Inclusion in quiz mode: Included

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