Primary malignant tumors of the renal pelvis are relatively rare with squamous cell carcinoma (SCC) accounting for 0.7-7%. Few cases of primary SCC of kidney have been reported in the world literature. The insidious onset of symptom and lack of any pathognomonic sign, leads to delay in the diagnosis and subsequent treatment, resulting in grave prognosis for these patients. We present a case of 29-year-old male with hydronephrosis of the left kidney with renal pelvis mass where histology of resected specimen shows SCC.
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