Description
A middle-aged man with poor access to medical care presented with shortness of breath and 3 years of abdominal distention. On physical examination, he was found to have a palpable mass in the left upper quadrant. He was found to have undiagnosed congestive heart failure with dilated cardiomyopathy, and a CT scan of the abdomen and pelvis revealed a left renal mass.
An MRI performed to further characterise the lesion demonstrated a large exophytic mass with a central scar and segmental enhancement originating from the lateral aspect of the left kidney with no evidence of renal vein or caval thrombus (figure 1). Owing to the possibility of renal malignancy, the patient underwent an open left radical nephrectomy through a hemi-chevron incision. The patient recovered well with no complications and was discharged home in good condition. Gross pathology demonstrated a 26 cm well-circumscribed mahogany brown tumour with intervening...
http://ift.tt/2kBdkO2
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου