Unanticipated papillary renal cell carcinoma in a complicated renal cyst: A case of radical nephrectomy following surgical complications.

Anahita Ansari Djafari, Seyyed Ali Hojjati, Azadeh Rakhshan, Tayeb Hosseini, Sina Samenezhad

Abstract readCase Reports

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Article in Urology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Anahita Ansari DjafariUrology Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Seyyed Ali HojjatiLaser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Azadeh RakhshanDepartment of Pathology, Shohada-e-tajrish Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Tayeb HosseiniDepartment of Radiology, Shohada-e-tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Sina SamenezhadUrology Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

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6 · The paper itself

Abstract

Cystic renal masses are often presumed benign, especially Bosniak I or IIF lesions. Rarely, papillary renal cell carcinoma (PRCC) can arise within these cysts, posing diagnostic and surgical challenges. We report a 40-year-old male with a right renal cyst under surveillance for three years as Bosniak IIF. Progressive growth led to laparoscopic cyst unroofing, but intraoperative findings of a solid mass and significant bleeding necessitated urgent radical nephrectomy. Histopathology confirmed pT2bN0Mx PRCC with solid and pseudopapillary features. This case underscores imaging limitations, the potential for malignancy in low-risk cysts, and the importance of vigilant monitoring, preoperative planning, and patient counseling.

Indexed as

Bosniak IIFCystic renal massDiagnostic challengePapillary renal cell carcinomaRadical nephrectomySurgical complication

Identifiers

PMID41209434

DOI10.1016/j.eucr.2025.103254

PMCPMC12590222

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