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Answers on p 733.
A 45 year old woman presented with left sided flank pain, anaemia, and severe hypotension. On clinical examination, a subcutaneous mass was palpated in the left flank and hypocondrium.
Renal urography showed the presence of a large mass with dislocation and compression of left kidney pelvis. Abdominal ultrasound revealed a highly reflective lesion in the left kidney. Abdominal contrast enhanced computed tomography was performed (fig1).
- What is the most likely diagnosis?
- What is the treatment?
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