| Renal cell carcinoma |
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| Saturday, 29 May 2010 13:40 |
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History (HX): A 52y man complaining of hematuria and flank pain .
Findings: Large solid mass in right kidney . The mass is causing distortion of the renal parenchyma , collecting system and sinus fat. Diagnose (DX): Renal cell carcinoma Discussion : The most common primary malignant tumors in adults, 80% of all malignant renal tumors , usually between 40-60 years of age . Man to woman ratio are 2:1 ,20-50% of hypernephroma are associated with von hipple – lindau disease. These tumors mostly spread by direct extension into the renal pelvis and the blood stream , thus early spread to the lungs is expected. Involvement of renal sinus soft tissue is occurred. Secondary deposits to the bones , liver and opposite kidney are commonly seen. |
