Renal synovial sarcoma occurring synchronously with renal cell carcinoma.
Deevanshi Manchanda, Abhishek Krishna, Rakshatha Nayak et al.
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Case in brief
A patient in his 50s presented with abdominal pain and hematuria, leading to the discovery of a primary biphasic synovial sarcoma of the kidney alongside synchronous clear cell renal cell carcinoma. The diagnosis was challenging due to overlapping clinical and radiological features with other renal malignancies. A multidisciplinary approach was employed for management.
What made this case unusual
This case is notable for the simultaneous occurrence of primary renal synovial sarcoma and clear cell renal cell carcinoma in the same kidney, which is a rare presentation.
Diagnostic / clinical pearl
Clinicians should consider the possibility of primary renal synovial sarcoma when evaluating renal masses, especially in the presence of atypical features or synchronous malignancies.
Why it matters
Understanding the potential for concurrent renal malignancies can aid in accurate diagnosis and appropriate management strategies in complex cases.