A rare co-occurrence of tubulocystic and clear cell type renal cell carcinoma

Tubulocystic renal cell carcinoma (TC-RCC) is a recently described rare subtype of RCC. Less than 70 cases have been reported until date. The concurrent papillary RCC (P-RCC) and TC-RCC has been documented many times in the literature, but the co-occurrence of clear cell RCC (CC-RCC) and TC-RCC is very rare. We are probably describing the third case of TC-RCC occurring with CC-RCC in a 62-year-old male who presented with heaviness of left upper abdomen and dull intermittent pain in the left flank. Grossly, there was two distinct parts in the total nephrectomy specimen. The larger solid part displayed the histopathological features of CC-RCC and the smaller spongy part revealed the features of TC-RCC.