A male in his 40s who recently underwent a partial nephrectomy is found to have clear cell RCC w/ tumor extension into renal sinus and tumor extension into major vein. Renal sinus soft tissue margin was positive for invasive carcinoma.
73 y/o with papillary RCC s/p right RALPN (2012) – final path was papillary RCC, type 1, neg margins, pT1aNxMx 3 cm. Has been followed since then with multiple imaging studies none of which had not shown any recurrence; did have 3.5 cm minimally complex left renal cyst. Recent imaging is concerning for RCC recurrence.
63 y/o male hx HTN, HLD and kidney cancer s/p RAL left radical nephrectomy. He has been on adjuvant pembrolizumab since 12/2022. At the time of diagnosis in 9/2022, he had a known 4.5cm right Bosniak 2F cyst. On his first surveillance imaging, this has grown to 6cm and is now a Bosniak 3 cyst. Cr is 1.95 with GFR 35-40.
43-year-old female. Has a long history of kidney stones. December 2021, she had CT that showed a left proximal stone with a 5 cm cystic mass. In September 2022, she had 2 stones in the proximal ureter and the mass is redemonstrated. January 2023, Renal mass protocol CT showed concern for Bosniak 3 cystic lesion, mass had enlarged to 6.9 cm. Follow-up MRI 1 month later the mass measured 7.3 cm with concern for cystic renal neoplasm.