1. RENAL TUMOR CASES FOR DISCURSION Prof. Hasan Farsi Consultant Of Urology KAU Ass Prof Anmar Nasir Consultant of Urology Um Al-qura univ

2. Case 1

3. History  Age –54y  Symptoms –Bilateral flank pain –No hematuria –No voiding or storage symptoms –No uremic manifestations  O/E: –Generally ok –Fullness in both renal angle with mild tenderness – no palpable mass

4. Laboratory profiles Renal profiles CBC KNaCrPlateletWbcsHg 4.0138802315.7148Prop 3.1-6.6128-140738-101835013 105-143 Post Op 3.91341083215.7106 Post Renal TX CxrAltBilirubin Alk Phos AlbuminNad15105742Prop Nad1985841 Post Op Nad2474735 Post Renal TX

5. Preop.15/1/2006

9. Surgical procedure  Date : –23/2/2006  Surical technique –Bilateral radical nephrectomy –12 rib supra costal approch  Pathology :

10. Pathology Microscopic Description Gross Description RightLeftRightLeft GIIT2NoMo GII T2NoMo 14x7x617x11x6Size Ureter And Renal Artery And Vein Pre-nenphric Fat, Ureter And Renal Artery And Vein Attached To -Ve+Ve Adrenal Gland -Ve-VeLN Numerous Tumor Nodules Ranging In Sixe From0.4- 6cm Numerous Tumor Nodules Ranging In Sixe From0.4- 9cm Tumour

11. Post operative for 2 yrs

14. Renal TX 27/11/2008

18. Post renal TX

20. Case 2

21.  Age –53y  Symptoms –Left flank pain –No hematuria –No voiding or storage symptoms –No uremic manifestations  O/E: –Generally ok –mild tenderness –no palpable mass

30. Surgical procedure  Date : –8/5/2007  Surical technique –Left partial Nephrectomy –12 rib supra costal approch  Pathology :

31. Pathology Microscopic Description Gross Description Left GII T3NoMo Left 3.5x2.5x1Size Well circumscribed Submitted total+safty margin from the bed Tumour

32. Post op

36. Surgical procedure  Technique: –left renal exploration –12 rib incision –Excision of mass in the left renal bed with safety margin from including the renal capsule –Pathology:  Myofibroblastic proliferation (Desmoid tumor)

37. Thank you