Left flank region mass

Chief Complaint A 52 y/o male presented with a dull abdominal pain, tirdness and loss of apetite for 4 months. History Patient is hypertensive, not on regular medication. Examination A palpable mass in the left flank region was noted. Investigations Lab reports are wnl. Urine analysis shows microscopic hematuria. Ultrasound shows a large retroperitoneal mass of the left kidney. CT abdomen shows a large homogenous left renal mass of 13.9 × 11 cm. Diagnosis Does it looks suspicious for renal cell carcinoma. Treatment What should be done done in this case?

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It looks like a case of Renal cell carcinoma. A CT guided F.N.A.C is indicated for further evaluation. Once diagnosis is confirmed , metastatic work up is indicated A radical nephrectomy is indicated

Retroperitoneal mass in renal region is certainly a renal tumor so far stage of tumor is concerned adv for biopsy Renal mass with hematuria is more likely adenocarcinoma of kidney Need to confirm and after staging decide for nephrectomy followed by chemoradiotherapy

Thanx dr Arun Kumar Sharma
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? LEFT RENAL PATHOLOGY.. ? RCC .. ? LET RENAL MASS .. NEED'S .. URINALYSIS .. URINE CRYPTOLOGY .. BLOOD CBC.. HPE STUDY..

Most probable diagnosis is ?RCC First confirm the diagnosis by CECT guided FNAC, Metastatic workup by Chest xray for lung metastasis....bone scan is required if there is any bony symptoms. Radical nephrectomy should be done .

? RCC NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND SURGICAL INTERVENTION REQUIRED..

Thanks Dr Shivraj Agarwal
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Nephtectomy. Radiotheraoy

surgery has traditionally been the only option for patients

Do a metastatic work up by whole body PET CT scan LFT Evaluate if operable If metastatic disease confirmed then biospy or else consider for exploratory laprotomy and procedure.

adecarcinoma of kidney. biopsy needs to be done

?RCC FNAC

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