INCIDENTAL RCC IN AN END-STAGE RENAL DISEASE : A RARE CASE REPORT

The incidence of end-stage renal disease has increased owing to the greater prevalence of patients with chronic kidney disease and diabetes mellitus .Acquired renal cystic disease (ARCD), renal adenoma (AD), and renal cell carcinoma (RCC) are more common in patients with end-stage renal disease (ESRD).Clear cell papillary carcinoma is the most common variant of RCC in ESRD patients. In our case,a 52 yr old male presented to the surgery department withcomplains of left renal colic.CECT scan was suggestive of left renal obstructive calculi and the possibility of left pyeloureteritis. The clinical diagnosis of left poorly functioning kidney was made. On the basis of clinical and histopathological findings , the diagnosis of End stage renal disease with renal cell carcinoma was made . IHC was advised. On IHC, PAX8, vimentin and CK7 were positive .On the basis of IHC, the diagnosis of Clear cell  papillary carcinoma was made.