Right renal mass, a rare disease and diagnostic dilemma in a young female

Faryal Azhar, Mudassar Niaz, Zakir Sial
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Abstract

A 22-year-old female from Afghanistan presented with history of pain right lumbar region along with feeling of heaviness and weight loss. The abdominal examination revealed a mass approximately 10*10 cm in the right lumbar region which was bimanually palpable. The diagnosis of Right lumbar mass was made on ultrasound. Final CT scan confirmed its origin from right kidney along with metastasis in lung. The ultrasound guided biopsy turned out to be spindle cell tumour of kidney. Right sided nephrectomy along with removal of proximal ureter done. Histopathology confirmed the diagnosis of mesenchymal chondrosarcoma of right kidney. Postoperative outcome of patient was uneventful.
年轻女性右肾肿块,罕见疾病及诊断困境
22岁女性,来自阿富汗,表现为右腰椎疼痛史,同时感觉沉重和体重减轻。腹部检查显示在右腰椎区域有一个约10*10厘米的肿块,双手可触及。超声诊断为右腰椎肿块。最终的CT扫描证实其起源于右肾并转移至肺。超声引导下活检证实为肾梭形细胞瘤。右侧肾切除术并输尿管近端切除。病理证实为右肾间充质软骨肉瘤。术后患者预后良好。
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