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Case #1

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Expand Physical Exam

10/08/XX

51-year-old female with fatigue and shortness of breath. On exam L upper quadrant mass found, was admitted for workup.

Expand X-Rays & Scans

10/08/XX

CT abd/pelvis: large soft tissue mass arising from L kidney, 15.0 x 17.5 cms. No bone involvement, lung bases negative.

10/15/XX

PET scan – FDG uptake surrounding L renal mass, focus of activity seen in cranial aspect of mass which may represent lymph node involvement. No uptake seen in liver.

Expand Operative Findings

11/08/XX

L radical nephrectomy, lymph node dissection: large mass palpated approximately 15 cms.

Expand Pathological Reports

11/01/XX

L kidney FNA: renal cell carcinoma.

11/08/XX

L kidney: papillary renal cell carcinoma, G3, 16.5 cms. Ureter and vascular margins negative. 14/15 L para-aortic LNs positive for mets. Gerota's fascia margin negative.

Expand Treatment

11/08/XX

Surgery: L radical nephrectomy, para-aortic lymph node dissection.

01/15/XX

Immunotherapy: Began Betaseron.