Lee Matthew, Lee Ziho, Kutikov Alexander
Division of Urologic Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
Urol Case Rep. 2019 Jan 14;23:85-86. doi: 10.1016/j.eucr.2019.01.008. eCollection 2019 Mar.
We describe a case of a patient with a large and clinically worrisome cystic renal lesion. Despite concerning imaging features, lack of definitive enhancement on cross-sectional imaging prompted a recommendation for expected management. The unusual lesion steadily decreased in size until it nearly entirely involuted over two years of follow-up. This case highlights the importance of careful treatment calibration and adherence to established clinical principles in patients who presents with clinically concerning renal lesions that lack definitive enhancement.