Presentation
Young male patient. No family history. Previous hospital attendance and biopsy for posterior fossa hemangioblastoma.
Patient Data
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Multiple enhancing intracerebral lesions, predominantly in the posterior fossa.
The lesions appear solid, rather than cystic with a solid mural nodule.
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Numerous intra-dural enhancing lesions throughout the cervicothoracic spine.
The appearances are similar to those in the brain.
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Solid mass in the lower pole of the left kidney. Cortical based, with a high suspicion of tumor.
Simple cysts in the kidney.
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Multiple bilateral renal cysts.
Multiple small pancreatic cysts.
Enhancing mass in the lower pole of the left kidney.
Case Discussion
Von Hippel-Lindau (vHL) disease is a multi-system disorder characterized by the development of numerous benign and malignant tumors as well as several non-malignant lesions.
The characteristic neurological tumor is a hemangioblastoma, which may involve the brain or spinal cord.
Renal cell carcinoma can occur in up to 40% of cases and is one of the most feared complications. RCC's present at an earlier age in those with vHL, as in this case in where the patient was in their 20's.
The renal lesion was confirmed as a cystic renal cell carcinoma on CT guided biopsy.
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