Papillary Renal Cell Carcinoma Presenting as a Perinephric Abscess

Abstract

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).

Keywords

• radical nephrectomy
• renal abscess
• sunitinib