IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-7-11434 Original Research Paper AN UNUSUALLY LARGE RENAL CELL CARCINOMA RESECTION: A GENTLE GIANT D Ray Dr. Praveen Royal Mokkapati Dr. Sunil Kumar Dr. July 2017 6 7 01 02 ABSTRACT

A 66 year–old had a mass from right kidney. Lung masses with spiculated margins were noted suggestive of metastases. Radical nephrectomy and right pulmonary metastasectomy in first stage followed by left metastasectomy four weeks later was done. Specimen was 17 x 16 x 15cm and weighed 5.018kg. Metastasectomy specimens were negative for malignancy. This case is being reported to add to the notoriety of unusual and unpredictable behaviour of renal carcinoma. It was a mass that would deter the boldest of surgeons and yet was complacent inside the kidney. Endemic prevalence of TB throws many a red herring.