RENAL TUMOR CASES FOR DISCURSION

1. RENAL TUMOR CASES FOR DISCURSION Ass Prof AnmarNasir Consultant of Urology Um Al-qurauniv Prof. Hasan Farsi Consultant Of Urology KAU

2. Case 1

3. History • Age • 54y • Symptoms • Bilateral flank pain • No hematuria • No voiding or storage symptoms • No uremic manifestations • O/E: • Generally ok • Fullness in both renal angle with mild tenderness • no palpable mass

4. Laboratory profiles

5. Preop.15/1/2006

9. Surgical procedure • Date : • 23/2/2006 • Surical technique • Bilateral radical nephrectomy • 12 rib supra costal approch • Pathology :

10. Pathology

11. Post operative for 2 yrs

14. Renal TX 27/11/2008

18. Post renal TX

20. Case 2

21. Case 2 • Age • 53y • Symptoms • Left flank pain • No hematuria • No voiding or storage symptoms • No uremic manifestations • O/E: • Generally ok • mild tenderness • no palpable mass

30. Surgical procedure • Date : • 8/5/2007 • Surical technique • Left partial Nephrectomy • 12 rib supra costal approch • Pathology :

31. Pathology

32. Post op

36. Surgical procedure • Technique: • left renal exploration • 12 rib incision • Excision of mass in the left renal bed with safety margin from including the renal capsule • Pathology: • Myofibroblastic proliferation (Desmoid tumor)

37. Thank you