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Year : 2014  |  Volume : 3  |  Issue : 4  |  Page : 267-269

Sarcomatoid renal clear cell carcinoma presenting with polycythemia: A case report with review of literature

1 Department of Pathology, Lala Lajpat Rai Memorial Medical College, Meerut; Department of Pathology, Teerthanker Mahaveer Medical College and Research Center, Moradabad, India
2 Department of Psychiatry, Subharti Medical College, Meerut, India
3 Department of Surgery, Mayo Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
4 Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Monika Rathi
228/16, Saket Colony, North Civil Lines, Muzaffarnagar, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-344X.143072

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Clear cell carcinomas (CCCs) are the common renal cell tumors. Sarcomatoid change in the clear cell tumors is uncommon. Not only this sarcomatoid change raises the grade of the tumors thereby adversely affecting the prognosis but it also may pose diagnostic problems. We discuss a case of diabetic female who presented with abdominal mass and polycythemia. She presented with grade IV and stage I CCC with sarcomatoid change. The tumor belonged to stage I. Left sided nephrectomy and splenectomy was done to treat the tumor. Postoperative radiotherapy was done. 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.

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