Incidental Finding of Renal Cell Carcinoma in Abdominal Ultrasound

Abstract

A 62-year-old albanian male was referred to the Emergency Department in Mother Theresa University Hospital Tirana, with  right upper abdominal pain.The sonographic examination demonstrated gallbladder stones and an heterogenous mass on the left kidney with vascular flow on Color Doppler. An enhanced computed tomography was performed and it was confirmed a solid mass with pathological contrast after injection. It was diagnosed as renal cell carcinoma Based on the staging and mass dimensions, the patient underwent partial nephrectomy. The histological examination resulted in renal cell carcinoma with clear cells. The patient was discharged in improved condition after a week. A monthly andominal ultrasound and a six month follow up with enhanced computed tomography were requested. Our patient is in a good condition with normal kidney function tests.The first follow up scan was negative for metastases. Our article shows the importance of  having abdominal ultrasound routine examination as it can reveal asymptomatic tumors that can be cancerous.

Keyword:  renal cell carcinoma, renal mass, incidental finding, ultrasound detection,clear cell renal cell carcinoma,partial nephrectomy.

DOI: 10.7176/ALST/100-06

Publication date: September 30^th 2024