Rational approach to the treatment of a patient with a small renal cortical tumor

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Abstract

Background A 64-year-old man with a history of hypertension and type II diabetes mellitus presented to his primary care physician for his annual health examination. Renal ultrasonography revealed a solid right renal mass, which was confirmed by MRI. The initial consultant recommended laparoscopic radical nephrectomy. The patient sought a second opinion.

Investigations Physical examination, baseline serum creatinine level, urine cytology, CT urogram and renal ultrasonography.

Diagnosis Centrally located subcortical tumor arising from the renal parenchyma.

Management Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.

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Figure 1: Baseline imaging studies.
Figure 2: Pathological analysis of the carcinoid.

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Correspondence to Paul Russo.

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The authors declare no competing financial interests.

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