Case 2025: Teresa (expert opinion by T. Kuusk)

Teresa, 65 years old, loves to prepare her famous cod in the kitchen of her apartment, just as her grandmother taught her. Besides being a prominent painter, known for her vibrant depictions of Portugal’s coastlines, she is also a go-to expert on traditional Portuguese cooking. Her family gladly gathers around the table every Sunday to enjoy the family recipes.

Unfortunately, a small renal mass (SRM) was recently found in her left kidney.

Assessment summary:

• Medical history:
  • Moderate COPD (GOLD II)
  • Crohn's disease
• Blood work:
  • eGFR: 45 ml/min/1.73m²
  • Hb: 11.2 g/dl (normal range: 13.6-17.7 g/dl)
• Abdominal contrast-enhanced CT: SRM
  • Undetermined; equivocal enhancement patterns
  • Size 3.1 cm
  • Location: upper pole, exophytic growth
  • cT1a