Abstract

A previously healthy 66-year-old man presented with a 3-month history of prostatism symptoms. He had a familial history (in his daughter and sister) of renal neoplasia. Physical examination findings were normal, except for the presence of multiple white and skin-colored papules distributed over the face and neck, consistent with fibrofolliculomas. Laboratory test results were unremarkable. Ultrasound of the urinary tract showed a well-defined, heterogeneous exophytic mass measuring about 6.5 cm, related to the upper pole of the left kidney. Chest computed tomography for staging showed multiple elongated lung cysts, …

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