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Friday, 1 August 2014

CASE 268: HEMATURIA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Male 18yo  pain at  right  renal fossa  and  hematuria.
Ultrasound first  detected  one mass at upper pole  right  renal, size of 4 cm  multilobulated,   ruptured  the  capsule and    structure  was  inhomogenous, cystic and solid  with calcification.
Doppler  showed  hypovascular supplying  to this tumor ( see  3 pictures -video).







One sonologist  suggested  TCC( transitional cell carcinoma ).
MSCT with  CE of  urography of the renal mass which composes  fatty tissue, calcification, expanding  outsite of  the renal capsule, look liked  AML (see 3 CT images-3D).









Do you thing  biopsy this mass is  necessary and risk ? This case  had been open operation for  partial nephrectomy.

See specimen and microscopic report  with IHS is renal cancer type clear cell.


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