“…Atypical hyperplastic changes and intratubular spread of tumor in the collecting duct epithelium are distinctive and characteristic findings, which support an origin from the distal collecting system [13,15]. Some reports have also described microcystic, papillary and tubular patterns and also sarcomatoid variants [1,9,17]. A group of CDCs described as low-grade cystic CDC by Murphy et al [18] and MacLennan et al [19], shows a tubulocystic architecture with tubular organization and small regular round cysts.…”