email article A healthy 46-year-old woman presents to the hospital in Dammam, Saudi Arabia for investigation of an incidental localized right renal mass, discovered in the course of an examination for gallstones. The mass is clinical stage I. Clinicians note that the patient has good performance status, and she reports no active concerns. Findings from their initial assessment are unremarkable -- a systemic review is normal and the patient reports having no family history of kidney problems or renal cancers. Clinicians' physical examination reveals nothing unusual, and results of lab tests are normal. Clinicians perform a right radical nephrectomy, and pathologic analysis of the mass identifies clear cell renal cell carcinoma (ccRCC).