Renal cell carcinoma with renal vein tumour thrombosis

Case contributed by Dr Ian Bickle

Presentation

41 year-old male patient presents with frank haematuria. No weight loss.

Patient Data

Age: 41
Gender: Male
Modality: Ultrasound

Large heterogenous mass involving the majority of the kidney with a little sparing of the lower pole.

The tumour extends beyond the capsule and into a distended left renal vein.

Poor intravenous contrast opacification.

Large heterogenous mass in the mid and upper poles of the left kidney extending into and distending the left renal vein.  This extends into the infra-hepatic IVC.

Left hilar and para-aortic lymphadenopaty.

Right adrenal adenoma.

Gallstones.

Modality: Pathology

Large renal tumour which is confluent extending into and completely occupying a distended left renal vein.

Case Discussion

An example of advanced renal cell carcinoma at presentation.

The tumour invasion of the left renal vein is profound - the vein being distended with tumour, and furthermore a tongue of tumour evident in the infra-hepatic IVC.   This correlated with intra-operative findings and the resected specimen (shown).

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Case Information

rID: 40307
Case created: 17th Oct 2015
Last edited: 2nd Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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