70 yts male presenting with intermittent hematuria for six months. he had CVA with left hemiparesis two months back and paritially recovering now. Still on Aspirin. His creatinine is 1.5. Non diabetic, Hb 12, . Echo cardiogram 30% election fraction. Carotid Doppler normal. USG : isoechoic mass in left mid pole. CT urogram: poorly enhancing about 5 cm mass in left mid pole extending up to Pelvis. large confluent left para aortic lymph node mass.

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Intermittent haematuria with weight loss? Ho smoking. What is pcv... Any old report? Stroke could be due to hyperviscosity.induced by renal hypernephroma. Main stay of rx is surgery.

Renal adenocarcinoma.

malignancy or renal koch's

Well, whatever the pathology RCC or otherwise, he requires radical nephrectomy. The final diagnosis rests with the histopathologist.

Renal Ca kochs ??

renal cell carcinoma with lymph node mets