A 20 year-old man in general check-up without hematuria nor abnormal symptoms.
Ultrasound detected a #37 milimeter in diameter cystic mass at posterior face of the right kidney bulging the renal capsule. Lab data were in normal range.
MSCT confirmed the # 3X4 cm cystic tumor of the right kidney, BOSNIAK IV which bulged the renal capsule.
Endoscopic surgery removed the tumor with one half of the right kidney.
Result of the microscopic specimen was a clear cell RCC.
The patient still remains well in four years later follow- up.
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