Parto Teb Azma

 

HX: A 52y man complaining of hematuria and flank pain .

Findings: Large solid mass in right kidney .

The mass is causing distortion of the renal parenchyma ,

 collecting system and sinus fat.

Diagnosis: Renal cell carcinoma

Discussion : The most common primary malignant tumors

in adults, 80% of all malignant renal tumors , usually

between 40-60 years of age . Man to woman ratio are 2:1 ,

20-50% of hypernephroma  are associated with von hipple –

 lindau disease.

These tumors mostly spread by direct extension into the

renal pelvis and the blood stream , thus early spread to the

lungs is expected. Involvement of renal sinus soft tissue is

occurred. Secondary deposits to the bones , liver and

opposite kidney are commonly seen.