Background: A 64-year-old man with a history of hypertension and type II diabetes mellitus presented to his primary care physician for his annual health examination. Renal ultrasonography revealed a solid right renal mass, which was confirmed by MRI. The initial consultant recommended laparoscopic radical nephrectomy. The patient sought a second opinion.
Investigations: Physical examination, baseline serum creatinine level, urine cytology, CT urogram and renal ultrasonography.
Diagnosis: Centrally located subcortical tumor arising from the renal parenchyma.
Management: Open partial nephrectomy. There were no intraoperative complications and the patient's postoperative course was uneventful.