Rational approach to the treatment of a patient with a small renal cortical tumor.
Overview
abstract
BACKGROUND: A 64-year-old man with a history of hypertension and type II diabetes mellitus presented to his primary care physician for his annual health examination. Renal ultrasonography revealed a solid right renal mass, which was confirmed by MRI. The initial consultant recommended laparoscopic radical nephrectomy. The patient sought a second opinion. INVESTIGATIONS: Physical examination, baseline serum creatinine level, urine cytology, CT urogram and renal ultrasonography. DIAGNOSIS: Centrally located subcortical tumor arising from the renal parenchyma. MANAGEMENT: Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.
