Julia (55 years old)

Julia, 55 years old, is a salesperson for paint. From antique ruby to zomp green: if you have a room to redecorate, she has the colours picked out for you. A small renal mass was found after complaints of flank pain in her left side.

Assessment summary:

• No comorbidities or relevant medical history
• Blood work:
  • Normal renal function
  • Hb: 12.7 g/dl (normal range: 12.0-16.0 g/dl)
• Abdominal contrast-enhanced CT: SRM in left kidney
  • Size: 3.9 cm
  • Location: upper pole, exophytic growth
  • cT1a
  • Biopsy SRM: clear-cell RCC (Fuhrmann grade II)