An 80-year-old woman with a history of hiatal hernia, glaucoma, cataract surgery, mitral and aortic valve diseases with left ventricular hypertrophy; hypertension, dyslipidaemia, non-insulin-required diabetes mellitus in week
During the evaluation, an abdominal ultrasound was performed, finding incidentally a solid mass of 4.2 cm in diameter, with nodular, homogeneous, slightly hypoechoic appearance in relation to the renal parenchyma.
With this finding, she was referred to the Urology Department where she was referred to a computerized axial tomography of abdomen and pelvis showing a 4 cm mass in the lower pole of the left kidney, enhancement with the administration of retroperitoneal adenopathy contrast medium endo
A complete evaluation to rule out metastasis was performed, including chest X-ray, which was all negative.
In February 2008 he was taken to the operating room performing open radical nephrectomy without complications.
The final histopathological study reported the presence of a tumor in the lower pole of the kidney, 4 cm in diameter, extensively hemorrhagic, well-defined and with involvement to the renal capsule.
NSE, Cromogranin and Synaptopysine were performed, resulting positive.
No pielocal invasion was observed in the renal vein or adipose tissue of the renal cell, concluding the primary tumor of the kidney.
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There were no postoperative complications, the gastrointestinal symptoms disappeared and the patient was admitted one week after surgery.
