Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of an incidentally discovered renal mass. Denies gross hematuria, flank pain, or constitutional symptoms. No history of tuberous sclerosis or Birt-Hogg-Dubé syndrome. Imaging (CT/MRI) reveals a well-circumscribed, solid renal mass with characteristic "spoke-wheel" vascular pattern and central scar, suggestive of oncocytoma.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, no palpable masses or organomegaly. Flank examination: No costovertebral angle tenderness. Cardiovascular/Pulmonary: Regular rate and rhythm, clear to auscultation bilaterally. Performance status: ECOG 0.
Treatment Protocol
Management plan: 1. Active surveillance (for small, asymptomatic lesions) vs. 2. Surgical intervention (Partial Nephrectomy preferred to preserve renal function). Pre-operative biopsy may be considered in equivocal cases to differentiate from Renal Cell Carcinoma (RCC). Post-operative follow-up with serial imaging as per institutional protocol.