| 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. |
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| 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. |
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| Operative Findings |
11/08/XX |
L radical nephrectomy, lymph node dissection: large mass palpated approximately 15 cms. |
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| 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. |
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| Treatment |
11/08/XX |
Surgery: L radical nephrectomy, para-aortic lymph node dissection. |
| 01/15/XX |
Immunotherapy: Began Betaseron. |
