Diagnosis
Tumor in the mid-pole of the left kidney (central left renal mass). Secondary cortical lesion in the lower pole of the left kidney
Patient:
Female, 38 years old, Kazakhstan
Physician:
Professor Jens-Uwe Stolzenburg, Head of the Department of Urology at Leipzig University Hospital
Patient History & Symptoms
An ultrasound revealed an irregularly shaped oval renal mass measuring 4.5 x 3.1 cm located in the central part of the left kidney. Subsequent MRI and CT scans were performed. Local physicians initially suspected an angiomyolipoma and recommended a total nephrectomy (kidney removal). The patient currently presents with no clinical symptoms.
Surgical Opinion & Treatment Plan
I have thoroughly reviewed the patient's diagnostic imaging, which demonstrates a hypervascular, contrast-enhancing tumor in the central region of the left kidney. A secondary lesion measuring up to 8.0 x 7.1 mm is identified in the cortical section of the lower pole. The mass exerts a compressive effect on the renal collecting system (renal pelvis and calyces), causing moderate displacement of the middle calyceal group.
The recommended definitive treatment in this case is a da Vinci robotic radical nephrectomy (total left kidney removal). While our center routinely performs partial nephrectomy (nephron-sparing surgery) for renal tumors—in over 100 cases annually—a kidney-sparing approach is technically unfeasible in this specific instance due to the deep central location of the tumor.
The estimated inpatient hospital stay is approximately 6 days.
The preliminary cost of treatment: €15,600.
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