title: When Physical Examination Signs Point to Sinister Causes.
abstract: A 55-year-old male presented with mild abdominal discomfort. On physical examination, a right upper quadrant abdominal mass was palpable and an obstructed right varicocele was evident. Ultrasonography and computed tomography revealed a 15 cm right renal tumor with a 2 cm aortocaval lymph node. The patient underwent an uneventful laparoscopic transperitoneal radical nephrectomy and lymphadenectomy and was discharged after 2 days. No complications or recurrence were noted at 6 months follow-up. This report signifies the importance of physical examination and attention to cardinal clinical signs and also the feasibility of laparoscopy in large renal tumor in expert hands.
authors: St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors: Fanourios
authors: F
authors: Georgiades
authors: Department of Urology, Ygia Polyclinic Private Hospital, Limassol, Cyprus.
authors: Andreas
authors: A
authors: Stylianides
authors: King's College Hospital NHS Foundation Trust, London, UK.
authors: Philippe
authors: P
authors: Grange
authors: Department of Urology, Ygia Polyclinic Private Hospital, Limassol, Cyprus. Electronic address: ckouriefs@hotmail.com.
authors: Chryssanthos
authors: C
authors: Kouriefs
mesh_terms: D002292:Carcinoma, Renal Cell / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010808:Physical Examination; D014057:Tomography, X-Ray Computed; D014646:Varicocele / Q000150:complications