CASE 438: RENAL HILUM TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN VĂN AN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Female patient 21 yo detected high blood pressure of 17/10 cmHg.

Ultrasound of abdomen detected  one mass at  upper pole of left kidney with  size of 3.5 cm. This mass  covers  left border of aorta, left renal hilum and adrenal fossa (US 1, US 2, US 3).

MSCT with CE= CT 1, CT 2,  CT 3, CT 4 (3D vascular)=    this tumor  covers the hilar kidney, very high CE enhancement. Radiologist says  adrenal tumor.

Blood test=catecholamine blood and  24 hrs urine analysis detected nothing abnormal

Metanephrine  blood =102 unit  (n= 90),  in urine = low 42 unit.

Operation  by laparotomy=

 Picture 1= this tumor  covers  the  left renal hilum.

Picture 2= Nephrectomy with tumor specimen.

MICROSCOPIC REPORT WITH  IMMUNO HISTO CHEMYSTRY  STAINNING IS  NON FUNCTIONAL PHEOCHROMOCYTOMA .

REF CASE REPORT