Cyto-histological correlation of sarcomatoid carcinoma of kidney

Sarcomatoid renal cell carcinoma (RCC) is a rare malignancy constituting 0.7% to 13.2% of all renal parenchymal malignancies. It is also called anaplastic carcinoma, spindle cell carcinoma or carcinosarcoma. The sarcomatoid differentiation is not a distinct histological entity, but it confers high aggressiveness on any subtype of RCC. Cytology of sarcomatoid RCC has rarely been described in literature. We describe cytology of a renal tumor that was later proven to be sarcomatoid RCC on histopathology and immunohistochemistry.