| A 52-year-old woman with hypertension as the only relevant antecedent. | |
| Patient was admitted to hospital due to metrorrhagia and abdominal pain. | |
| He did not report hematuria or pain in the renal fossa. | |
| Vaginal ultrasound showed a left adnexal mass of 7 cm in diameter and highly vascularized, with large uterus and right ovary with normal characteristics. | |
| With the suspicion of primary ovarian carcinoma, the staging study was completed by performing abdominal-pelvic CT, identifying a complex mass in the lower pole x 65 mm of right kidney, with severe uptake of central contrast medium. | |
| It was also reported two other small nodules of 17 and 10 mm depending on the upper pole of the same kidney with similar characteristics as the previous lesions. | |
| The left adnexa presented a solid-cystic lesion of 90 x 65 mm, with intense contrast uptake. | |
| No regional lymph nodes or peritoneal metastatic implants were observed. | |
| 1. | |
| With the diagnostic suspicion of primary ovarian carcinoma and secondary renal metastasis, total hysterectomy and double adnexectomy were performed, performing in the same surgical act right radical nephrectomy. | |
| Intraoperative histological study of ovarian structure was reported as metastasis of renal cell carcinoma in ovary. | |
| Definitive renal histological diagnosis was Fuhrman grade I renal cell carcinoma extending to perirenal fat, without affecting the renal vein. | |