Description
A 40-year-old male patient, a chronic smoker for the last 10 years, presented with oedema of the lower legs and gross painless haematuria of 2 months duration. He also gave history of weight loss and loss of appetite. Physical examination revealed a right abdominal mass. Complete blood haemogram was normal. A comprehensive metabolic evaluation including serum calcium levels, C-reactive protein, liver function and urinalysis was also found normal.
Multidetector CT scan showed a right renal tumour of size 8x8 cm involving upper and mid-pole with tumour thrombus extending from the renal vein (RV) into the infrahepatic inferior vena cava (IVC) (figure 1). CT angiography was further performed to confirm the vascularity and extent of RV thrombus as shown in figure 2.
Figure 1
Right renal cell carcinoma involving upper and mid-pole with tumour thrombus extending into infrahepatic inferior vena cava (IVC).
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