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Tuesday 22 December 2015

CASE 354: RIGHT KIDNEY TUMOR, Dr PHAN THANH HẢI-Dr TRẦN LÃM, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Man  37 yo, screening by  MSCT total body  non CE  detected  abnormal  border of upper pole of right kidney (images CT 1, CT 2).



Phased  CT CE find out  this mass being tumor of upper pole of right kidney, size  of3,5 cm with the rim border but non fatty tissue in structure (CT 3, CT4).



Ultrasound for verifying of this mass is mixed echoic, hypovascular supplying, not invasion to hilus of right kidney (US 1, US 2( longitudinal scanning), US 3 (cross-section).




What is your  suggestion of diagnosis, and biopsy or not?

Urologist  says no biopsy, clinical  imaging  looks like  RCC. Planning to surgery, partial nephrectomy (see macro).



MICROSCOPIC REPORT  IS  RCC (RENAL CELL CARCINOMA).



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