Question

Patient, Male ,40, Three days of cramps, Anuria ,3 days, Physical examination: acute appearance, Cardiopulmonary (1), Right lower abdomen has tenderness, No obvious rebound, The kidney is missing, Right renal area percussion tenderness. Biochemical examination: mmol/L, K+6.5 Na+128 mmol/L, cl-90mmol/L, CO2 binding rate :14 mmol/L, Blood urea nitrogen :25 mmol /L, Serum creatinine 800 umol/L .KUB： right third lumbar transverse process of high density shadow about 1.2 cm×1.0 cm size, Left kidney antler - shaped high density shadow.

(1)What is the diagnosis of the patient?

(2)Treatment options?

Answer 1

Answer 1:)

The patient has a critical level of potassium level (normal 3.6 to 5.2), which is called hyperkalemia. Hyponatremia i.e. low sodium level (normal 135 to 145); low chloride level (97-107) i.e. hypochloremia; blood urea nitrogen is also high (normal 7 to 20 mg/dL); serum creatinine level is slightly low (normal 840 to 1210). These conditions are due to the improper functioning of the kidney. The high-density shadows are suggesting the presence of tumors around the kidney. That is why the person has tenderness at the right lower abdomen. Therefore, the person has renal cell carcinoma.

Answer 2:)

The treatments of renal cell carcinoma are renal tumor ablation, targeted therapy, surgery, immunotherapy/biologic therapy, clinical trials, chemotherapy, and radiation therapy.