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The Korean Journal of Pathology 1996;30(1): 57-60.
A Case Report of Renal Cell Carcinoma in a Polycystic Kidney: A case report.
Kyoung Chan Choi, Joon Hyuk Choi, Won Hee Choi
Department of Anatomic Pathology Yeungnam University Hospital, 705-035 Taegu, Korea.
ABSTRACT
A forty-nine-year-old woman with polycystic disease had a right nephrectomy for what was preoperatively thought to be a polycystic disease, but at surgery turned out to be a tumor based on frozen section. Microscopic examination revealed papillary type, renal cell carcinoma with classical features of adult polycystic kidneys. Radiologic findings revealed multiple cysts in the liver. The clinical recognition of a carcinoma developing in polycystic kidneys is often difficult because of the presence of preexisting large renal masses and occasional hematuria. Renal cell carcinoma should be thought of when confronted with abdominal pain or back pain, severe hematuria, sudden dysuria or a new renal mass occurring in a patient with polycystic kidneys.
Key Words: Polycystic disease; Polycystic kidney; Renal cell carcinoma