Concurrent RCC with tuberculous para aortic lymphadenopathy: A pleasant surprise

Abstract

A middle-aged man with end-stage renal disease presented with biopsy-proven left renal cell carcinoma (RCC) and extensive lymphadenopathy on ultrasound/magnetic resonance image. He and his family were counselled on his poor prognosis based on imaging findings, which showed multiple enlarged lymph nodes, appearing metastatic. He underwent laparoscopic radical nephrectomy along with lymph node dissection. Biopsy revealed RCC with all tuberculous lymph nodes. It was a surprise for the patient and treating clinician as the lymph node involvement was a poor prognostic factor for RCC.

Renal tuberculosis mimicking renal malignancy in Sudanese adolescence

“…Pushkar report showed that UGTB and RCC can have a combined presentation, he reported a middle-aged gentleman who is known to have chronic kidney disease, the patient presented with left renal mass, U/S-guided biopsy and histopathology revealed RCC with multiple enlarged lymph nodes. After nephrectomy and lymph dissection, it turned out to be involved with mycobacterium under the microscope [ 9 ].…”