Department of Pathology, University of Oklahoma Health Sciences Center
A 63 year-old woman with diffuse abdominal pain, sharp left upper back pain and a solid mass in the kidney.
Clinical information: The patient is a 63-year-old woman who presented to the emergency department with a 3 month history of diffuse abdominal pain and a 2 week history of sharp left upper back pain with radiation. She denied all other constitutional symptoms. Her past medical history was significant for hypertension, obesity, cholecystectomy, and ventral hernia repair. She stated a 15 year history of tobacco use, however, she reported quitting 30 years ago. Physical examination and laboratory studies at admission were unremarkable. A CT scan of her abdomen and pelvis revealed a large, solid mass in the mid/lower pole of her left kidney. She subsequently underwent an uncomplicated laparoscopic left total nephrectomy. Representative images are presented as follows:
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What is your working diagnosis? What would you do to confirm your diagnosis? Discussion
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