A 61 year-old diabetic man in annual check-up with a #15-17mm left renal cyst known by non CE MSCT for years.
MSCT of full body detected a #21x16mm left adenal tumor, a thyroid cyst and renal cysts and a #17mm renal tumor which moderatly captured CE cannot ruled out a RCC.
He has got a thyroid tumor#19mm and a colon polyp.
Coronary arteries were slightly stenosis.
Lab data were not interested except an endocrinal adrenal tumor.
Endoscopic surgery removed the left papillary cell carcinoma PCC and a
hafl of kidney
with the left adrenal tumor.
Histopathological results were left PCC and left endocrine 0cortical adrenal tumor.