title: 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.
authors.affiliation: Department of Urology, Indraprastha Apollo Hospital, New Delhi, India;
authors.forename: Praveen
authors.initials: P
authors.lastname: Pushkar
authors.affiliation: Department of Urology, Indraprastha Apollo Hospital, New Delhi, India;
authors.forename: Anshuman
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Department of Nephrology, Indraprastha Apollo Hospital, New Delhi, India;
authors.forename: Ashok
authors.initials: A
authors.lastname: Sarin
authors.affiliation: Department of Pathology, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Kashyap