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


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


METHODS
Centrally located subcortical tumor arising from the renal parenchyma.


RESULTS
Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.
Department of Urology, New York University Medical Center, New Yourk, NY, USA.
William C
WC
Huang
Paul
P
Russo
D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy