A 79-year-old woman presented with recurrent urinary tract infection and pyelonephritis. Abdominal CT showed a large mass in the left upper quadrant adjacent to the left kidney and displacing the pancreas anteriorly. The deepest part of the tumor was contiguous with the left psoas muscle. There was no evidence of disease elsewhere.
Exploration of the abdomen through a limited left subcostal portion of the incision revealed no metastatic disease. The incision was extended to its full length.
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