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Renal cell carcinoma
   64 years old male with no known co-
    morbids,presented to us with
   c/o
      Pain in left flank region for 1.5 months
     Dull aching pain in left lumber region that was radiating
       towards ipsilateral groin. It was not associated to any
       other symptom,it had no aggravating or relieving
       factors.
   Old age male of average height and built,well
    oriented to time person and place

Vitals:
•Pulse=      87/min            Sub-vitals:
•B.P  =                        Anemia =         absent
      140/90mmhg               Jaundice         =
•R/R  =     18/min                     absent
•Temp =     98.6⁰F             Cyanosis         =
                               absent
                               Clubbing         =
                               absent
                               Dehyd: =         absent
                               L/Nodes          =
                                       N/P
                               JVP     =        not raised
                               Edema =           absent
   Inspection:
    ◦ Flat with centrally placed inverted umblicus, moving
      symmetrically with respiration.
    ◦ No visible pulsation, vien or scar mark
   Palpation:
    ◦ Soft, nontender with palpable hard,immobile mass
      with nodular surface and irregular margins in left
      lumber region
   Percussion:
    ◦ Tympnytic overall with dullness in the left lumber
      region
   Auscaltation:
    ◦ Audible bowel sounds with no added sounds
   Normal heamatological and coagulation
    studies
   Renal profile was initially deranged but
    corrected later on with consultation from
    nephrology
   CT whole abdomen with contrast showed
    ◦ A mass of about 10x8.7x7.1cm arisnig from upper
      pole of left kidney
    ◦ Involving left ranal vien and IVC up to diaphragm
    ◦ Para-aortic, para-caval and aorto-caval lymph node
      involvement
    ROBSON STAGE IIIc
We have performed radical nephrectomy but
        thrombus in IVC is still there
Rcc case ppt

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Rcc case ppt

  • 2. 64 years old male with no known co- morbids,presented to us with  c/o  Pain in left flank region for 1.5 months Dull aching pain in left lumber region that was radiating towards ipsilateral groin. It was not associated to any other symptom,it had no aggravating or relieving factors.
  • 3. Old age male of average height and built,well oriented to time person and place Vitals: •Pulse= 87/min Sub-vitals: •B.P = Anemia = absent 140/90mmhg Jaundice = •R/R = 18/min absent •Temp = 98.6⁰F Cyanosis = absent Clubbing = absent Dehyd: = absent L/Nodes = N/P JVP = not raised Edema = absent
  • 4. Inspection: ◦ Flat with centrally placed inverted umblicus, moving symmetrically with respiration. ◦ No visible pulsation, vien or scar mark  Palpation: ◦ Soft, nontender with palpable hard,immobile mass with nodular surface and irregular margins in left lumber region  Percussion: ◦ Tympnytic overall with dullness in the left lumber region  Auscaltation: ◦ Audible bowel sounds with no added sounds
  • 5. Normal heamatological and coagulation studies  Renal profile was initially deranged but corrected later on with consultation from nephrology  CT whole abdomen with contrast showed ◦ A mass of about 10x8.7x7.1cm arisnig from upper pole of left kidney ◦ Involving left ranal vien and IVC up to diaphragm ◦ Para-aortic, para-caval and aorto-caval lymph node involvement ROBSON STAGE IIIc
  • 6.
  • 7.
  • 8. We have performed radical nephrectomy but thrombus in IVC is still there