Reason: Pt with Chromophobe RCC cancer s/p adrenal sparing nephrectomy and modified RPLND for a 23cm renal mass, 12/31/05. Segment 2 hepatic lesion with atypical features suspicious for cystic metastasis. Limited images of the liver for biopsy planning demonstrate a cystic lesion within segment 2 measuring 0.6 x 1.0 x 1.0 cm, decreased in size from 1.6 x 1.4 cm on recent MRI. The lesion is immediately adjacent to the diaphragm and heart.
Decrease in size of cystic segment 2 lesion which may be related to treatment effect. Biopsy canceled after discussion with Dr. Roggin regarding risks and benefits of biopsy. Continued follow-up is recommended.