This is a renal cell carcinoma arising in the lower pole of the kidney. It is fairly circumscribed. The cut surface demonstrates a variegated appearance with yellowish areas, white areas, brown areas, and hemorrhagic red areas. Though these neoplasms are usually slow-growing, they can often reach a considerable size before detection because there is a lot of room to enlarge in the retroperitoneum, and there is another kidney to provide renal function.

Thus, presenting symptoms and signs usually include:

  • Flank pain

  • Hematuria (often microscopic)

  • Weight loss

  • Mass on palpation

  • Hypertension



Macroscopic Urinalysis:

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Leukocyte esterase
Nitrite
pH
Protein
Blood
Specific gravity
Ketones
Glucose
Bilirubin
CharacteristicResult
ColorYellow
AppearanceClear
Leukocyte EsteraseNeg
NitriteNeg
pH6.5
ProteinNeg
BloodTr
Specific Gravity1.025
KetonesNeg
GlucoseNeg
BilirubinNeg

Microscopic Urinalysis:

CharacteristicResult
WBC/hpf <5/hpf
RBC/hpf 5-10/hpf
Casts Few hyaline casts
OtherFew oxalate crystals