Mismatch between preoperative imaging and surgical findings in clear cell renal carcinoma: A case report

Renal tumors, particularly clear cell renal carcinoma, often present a perplexing discordance between preoperative radiological findings and surgical observations. This case study describes a 33-year-old female with a large renal tumor that extended into adjacent structures, as suggested by preoperative imaging. However, intraoperative assessment revealed an absence of liver invasion, emphasizing the complexity of preoperative evaluation. The multidisciplinary tumor board's decision to proceed with surgery played a pivotal role in her successful management. The case underscores the significance of multidisciplinary collaboration, adaptability in surgical planning, and meticulous clinical attention in addressing radiological-surgical discordance in renal tumor cases.