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A 54-year-old woman underwent gallbladder ultrasound for abdominal pain and an incidental right upper pole kidney mass was discovered. A subsequent CT scan demonstrated a homogeneous non-cystic mass measuring 4.9 cm in greatest dimension. There was no involvement of the right adrenal gland and no lymph node enlargement. A right partial nephrectomy was performed. Grossly the tumor was tan with a lobulated cut surface. There was no apparent central scar. There was no capsular or renal sinus invasion. The renal vein was not involved.
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• Chromophobe renal cell carcinoma
• Conventional (clear cell) renal cell carcinoma
• Epithelioid angiomyolipoma
• Metastatic hepatocellular carcinoma
• Renal oncocytoma
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