WOMAN 45 YO..PAIN AT RIGHT SUBCOSTAL REGION. PLAIN XRAY FILM KUB DETECTED CALCIFICATION PUNCTIFORM AT LIVER BORDER AND RIGHT KIDNEY ( SEE XRAY PLAIN FILM).
ULTRASOUND OF ABDOMEN FIND OUT THIS MASS IN RETROPERITONEUM, SIZE OF 7X5 CM , WHICH PULL THE RIGHT KIDNEY DOWN. ITS STRUCTURE IS CYSTIC, MULTILOCULATED WITH FINE WALL AND CALCIFICATED. THE CONTENT OF THIS CYST IS MIXED ECHOGENIC STRUCTURE ( SEE 4 US IMAGES ).
MSCT OF ABDOMEN WITH CE= THIS TUMOR IS MULTICYSTIC WITH CALCIFICATION OF THE WALL ( SEE 3 CT IMAGES).
BLOOD TESTS AND MARKER S = AFP, BETA HCG ARE NORMAL
WHAT IS YOUR DIAGNOSTIC SUGGESTION AND WHAT YOUR TREATMENT FOR HER?