Papillary Renal Cell Carcinoma Presenting as a Perinephric Abscess
Published: April 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/32019.11362
Vinod Kumar, Sushant Nanavati, Luis Carlos Ortiz, Fnu Komal, Monisha Singhal
1. Resident, Department of Internal Medicine, St. Joseph’s Regional Medical Center, Paterson, New Jersey, USA.
2. Resident, Department of Internal Medicine, St. Joseph’s Regional Medical Center, Paterson, New Jersey, USA.
3. Resident, Department of Internal Medicine, St. Joseph’s Regional Medical Center, Paterson, New Jersey, USA.
4. Resident, Department of Internal Medicine, St. Joseph’s Regional Medical Center, Paterson, New Jersey, USA.
5. Associate Professor, Department of Internal Medicine, New York Medical College, New York, USA.
Correspondence
Dr. Sushant Nanavati,
703 Main Street, Paterson, New Jersey-07503, USA.
E-mail: snanav2@gmail.com
Typically, Renal Cell Carcinoma (RCC) presents with distinguishing features of flank pain, abdominal palpable mass and haematuria. Other clinical symptoms include weight loss, anorexia and metastasis to the lungs. In rare instances, patients may present with infected renal mass that may be underlying malignancy. Herein, we report a case of a 65-year-old, African American man presenting with flank pain and fever suspected of a renal abscess and eventually diagnosed with Papillary RCC (pRCC) type II requiring radical nephrectomy and initiating adjuvant tyrosine kinase inhibitor (sunitinib).
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