Paediatric renal cell carcinoma
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An otherwise healthy 5-year-old male presented to the Emergency Department with a right-side abdominal mass. The mass was discovered by his parents when he experienced abdominal pain after roughhousing. An abdominal ultrasound demonstrated the presence of a solid, 10.8 × 7.4 × 8.1 cm mass arising from the lower pole of the right kidney. Color flow imaging demonstrated flow within the lesion. Additionally, the right renal vein and IVC were patent. Helical CT images of the chest, abdomen, and pelvis with intravenous contrast confirmed the presence of an 8 × 11 × 9.4 cm heterogeneously enhancing mass arising from the mid pole of the right kidney. This mass contained areas of low attenuation consistent with hemorrhage, tissue necrosis and cystic degeneration on pathologic examination. There were no additional ipsilateral or contralateral renallesions, intralesional calcifications, nor was their thrombus in the right renal vein or IVC. Renal cell carcinoma was diagnosed.

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