Recurrence of renal cell carcinoma post nephrectomy

Case contributed by Dr Ian Bickle


Left nephrectomy 18 months previously. Asymptomatic patient attending for follow-up surveillance imaging.

Patient Data

Age: 65
Gender: Female

Left nephrectomy.

Bulky enhancing left para-aortic lymphadenopathy, with central necrosis.

Small nodules on both limbs of the left adrenal gland, highly suggestive of adrenal metastases.

Case Discussion

Left nephrectomy, with renal cell carcinoma recurrence in the form of left para-aortic nodal metastases.

Notice how the nodal metastases mimic the typical enhancement characteristics of primary renal cell carcinoma, with peripheral enhancement and central necrosis.

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Case information

rID: 24369
Published: 10th Aug 2013
Last edited: 16th Sep 2019
Inclusion in quiz mode: Included

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