A 50 year-old woman with right kidney tumor but it existed not any signs of hematuria or back pain. Laboratory findings noted only CA 19-9 value raised and normal urine tests.
And normal EKG and chest X-ray findings.
Ultrasound confirmed a huge right kidney cystic tumor 97x93×88mm, hypovascularized but there was cystic necrotizing inside with cloudy fluid. The capsule of tumor was intact while its content was inhomogeneous echogeneicity.
MSCT represented later a #90×100×110 mm cystic tumor of upper pole of right kidney, classified BOSNIAK IV.
Open surgery explored and removed the right renal cystic tumor at upper part of kidney by scissor; some sludge fluid drained out from the bottom of the cystic tumor. And surgeons left a haft of right kidney in the renal bed after sewing it.
Microscopic result is adenocarcinoma of kidney.
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