CASE 549: RENAL CYSTIC TUMOR, Dr PHAN THANH HAI, Dr NGUYEN PHUOC TOAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Man 38 yo with annual health check up ; 3 years ago ultrasound detected  right renal cystic tumor growing bigger for year. 

NOW,   US 1: LONGITUDINAL SCANNING OF  RIGHT KIDNEY  NOTES THAT A CYSTIC TUMOR AT UPPER  POLE OF RIGHT KIDNEY.

US 2: CDI  IN CROSSED SECTION OF RIGHT KIDNEY.

US 3:  LONGITUDINAL SCANNING OF RIGHT KIDNEY WITH CDI.

MSCT CE    

CT1 : CROSSED SECTION OF RIGHT KIDNEY CYSTIC TUMOR  WITH FINE SEPTATION.

CT 2 : FRONTAL VIEW OF   RIGHT KIDNEY.

CT 3 : TUMOR  COVERS  UPPER POLE OF RIGHT KIDNEY TO  HILUS OF RIGHT KIDNEY.

CT4=  SAGITTAL VIEW OF RIGHT KIDNEY.

RADIOLOGIST  SAYS CYSTIC TUMOR OF RIGHT KIDNEY  TOO BIG  THAT COVERS MORE RIGHT KIDNEY in  BOSNIACK III  CLASSIFICATION.

THIS PATIENT PLANS TO  NEPHRECTOMY OPERATION.
MRI of THIS CASE  REPORTED   CYSTIC TUMOR OF RIGHT Kidney,  SIZE 5 CM, BOSNIACK IV.

OPERATION  BY ROBOT,   RETROPERITONEAL RESECTION OF RIGHT KIDNEY.   

SEE MACRO  

OP 1: SURFACE OF  R KID  NO INVASION OUT OF  KID BORDER

OP 2 : SAGITTAL SECTION, TUMOR IS CYSTIC NO SOLID PART INTRA TUMOR.

MICROSCOPIC REPORT IS BENIGN CYST.

REFERENCE =  BOSNIACK CLASSIFICATION  AND HISTORY.