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.