CASE 225: LEFT RENAL MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 32 yo in health care check-up:  ultrasound of abdomen detected  left renal mass in hyperechoic central  kidney with size of 2.5 cm, irregular border, and  hypovascular. Elastoscan  showed that hard mass.

MSCT with CE of this mass is in rapid enhancement and quickly washed-out.

What is your suggestion?

THIS CASE MUST BE BIOPSY OR NOT?

WHY OPERATION IS DONE; LEFT LAPOROSCOPIC NEPHRECTOMY

SEE MACROSCOPIC SPECIMEN.

Discussion:
Why we do not biopsy this case, see Ref. 2009-AUA guideline

The  microscopic report  of histo-immunostaining  is AML.