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She presented with grade IV and stage I CCC with sarcomatoid change. Left sided nephrectomy and splenectomy was done to treat the tumor. The patient was followed-up for a period of 2 years, no recurrence was noted.

We report this case due to its unusual clinical and histological presentation.

Int J Health Allied Sci 2014;7-9How to cite this URL: Rathi M, Budania SK, Khalid M, Mittal A.

Int J Health Allied Sci [serial online] 2014 [cited 2018 Feb 6];7-9. 2014/3/4/267/143072The 60-year-old female, diabetic for 10 years presented to the surgery outpatient department with a history of left-sided renal mass and hematuria for 1 day.

Pepper K, Jaowattana U, Starsiak MD, Halkar R, Hornaman K, Wang W, et al.

Grade I shows round, uniform nuclei approximately 10 mm in diameter with a minute or absent nucleoli.Hence while reporting the histological subtype of CCC, one should actively search for the sarcomatoid component.Sarcomatoid change in RCC is associated with losses on 13q (75%) and 4q (50%) and increased p53 mutations.Gross examination showed mass in the upper pole of the kidney measuring 4 cm × 4 cm [Figure 2].Microscopy showed tumor cells arranged in nests and separated by fibrovascular septa.

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