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Left kidney mass in a 45 year old woman
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  1. G Brancatelli,
  2. M Galia,
  3. G Sparacia,
  4. S Cusmà,
  5. R Lagalla
  1. Department of Radiology “P Cignolini”, University of Palermo, Via Del Vespro 127, I-90127, Palermo, Italy
  1. Dr M Galia, Via Monte San Calogero 5, I-90146, Palermo, Italy gbranca{at}yahoo.com
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http://dx.doi.org/10.1136/pmj.76.901.722

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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).

    Figure 1
    Figure 1

    Abdominal contrast enhanced computed tomogram.

    Questions

    (1)
    What is the most likely diagnosis?
    (2)
    What is the treatment?

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    The Fellowship of Postgraduate Medicine