Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [gross/microscopic] hematuria, flank pain, and a palpable abdominal mass. Associated symptoms include unintentional weight loss, night sweats, and fatigue. No history of smoking or occupational exposure to carcinogens. Imaging (CT/MRI) reveals a [size] cm solid, enhancing renal mass in the [upper/mid/lower] pole, suggestive of clear cell RCC.
Clinical Examination Findings
General: Patient appears [well/ill]-appearing, cachectic. Abdomen: Soft, non-distended, with a palpable mass in the [right/left] flank/upper quadrant. Tenderness to deep palpation noted. Costovertebral angle (CVA) tenderness present on the affected side. Lymphadenopathy: No palpable supraclavicular or inguinal lymph nodes.
Treatment Protocol
Plan: Surgical intervention indicated. Options discussed: [Partial Nephrectomy / Radical Nephrectomy] via [Open/Laparoscopic/Robotic] approach. Pre-operative staging completed (TNM staging). Referral to Oncology for potential adjuvant therapy if indicated by pathology. Post-operative monitoring of renal function (Cr/eGFR) and surveillance imaging protocol initiated.