A Heterogeneous Renal Mass and Arm Pain in a 38-Year-old African American Female

Abstract

A 38-year-old African American woman presented with a 3-month history of worsening right arm pain. Initial conservative management included analgesia and myofascial release by the patient's primary care physician. She continued to have focal pain of the right humerus, and plain-film imaging demonstrated a lytic lesion of the diaphyseal humerus. Subsequent computed tomography (CT) confirmed a large renal heterogeneous mass replacing the renal parenchyma (Fig. 1). The patient's medical history included sickle cell trait and iron deficiency anemia, and her surgical history included a cervical loop excision for an abnormal Pap smear.