Conclusions
Renal cell carcinoma is associated with widespread metastatic disease and a hyper-coagulopathic state. It typically metastasizes to unpredictable sites with atypical symptoms and extension of thrombus into IVC and right atrium. The classic triad of flank pain, flank mass & hematuria is usually seen in advanced disease stages. These days the majority of cases are diagnosed as incidental findings on imaging studies for other reasons. Therefore, it is highly essential to consider RCC in the differential when the patient presents with atypical symptoms without any workable diagnosis. As early stages of RCC are highly responsive to standard therapy with a good prognosis and long-term survival.
Acknowledgements: Published with written consent of patient.
Ethical approval/Financial support: This manuscript did not receive any financial support.
Disclosure statement: The authors report no conflict of interest.