Renal cell carcinoma

Case contributed by David Puyó

Presentation

Gross hematuria, pain

Patient Data

Age: not known
Gender: Female
CT

Left heterogenous enhancing mass in the mid-pole of the left kidney. This is well illustrated on this 4 phase renal CT study.

Case Discussion

Renal cell carcinoma is the commonest malignancy of the kidney in adults.  Although there are several histological sub-types, the majority are clear-cell - approaching nearly 80%.

The classic presentation described is with gross hematuria, flank pain and a palpable mass is now less common as many present at an early stage, often as incidental findings on imaging.

The usual method of renal cell carcinoma staging is now using the TMN classification, although the Robson staging is still recognized.

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Case information

rID: 22047
Published: 6th Mar 2013
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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