Rare variant of renal cell carcinoma: A case report from rural tertiary care centre

Introduction: Renal Cell Carcinoma (RCC) is the most common type of kidney cancer, accounting for 3% all malignancies and 85% malignant tumors. The histological classification utmost importance, considering significant prognostic therapeutic implications these subtypes. Here we report rare variant RCC which include Oncocytic papillary renal cell carcinoma (OPRCC). Case report: A middle age male presented with pain in left flank decreased urine output. CECT Abdomen revealed a well defined solid cystic mass lesion arising from inferior polar cortex measuring 10.9 x 9.4 9.8 cm. Left radical nephrectomy was performed specimen sent histopathological examination show features oncocytic carcinoma. Conclusion: importance this case to identify variants subtypes as it confers high propensity metastasis hence less chance survival. OPRCC regarded an independent subtype PRCC not only its distinct pathological but also indolent clinical behaviour tumor presents same immunophenotypic 2 genetic prognosis 1 PRCC.