A 60-year-old woman presented to our clinic for evaluation of a right renal mass,
incidentally discovered on a computed tomography (CT) scan obtained during a workup
for shortness of breath. Her medical history was significant for hypertension, hyperlipidemia,
hypothyroidism, and asthma. She had undergone several abdominal surgeries, including
laparoscopic gastric banding, splenectomy, hysterectomy, and bilateral salpingo-oophorectomy.
She denied a history of tobacco, heavy alcohol, or illicit drug use. She had no family
history of kidney disease or genitourinary malignancy. On a review of systems, she
reported intermittent nausea, vomiting, and dyspepsia but denied fevers, night sweats,
weight loss, gross hematuria, dysuria, or a change in bowel habits. Her vitals signs
were within normal limits, and her body mass index was 32.4 kg/m2. Her abdomen was soft, not distended, and without palpable masses, although several
surgical scars were present. Routine laboratory tests, including complete blood count,
electrolytes, creatinine, coagulation studies, and urinalysis, were performed. The
complete blood count with differential demonstrated mild thrombocytosis (473 K/μL)
and leukocytosis (13 K/μL) but was otherwise normal. The results from the remainder
of the laboratory studies were also within normal limits.
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Article info
Publication history
Accepted:
August 25,
2012
Received:
May 4,
2012
Footnotes
Lambros Stamatakis and Philip J. Cheng contributed equally.
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
