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Sarcomatoid carcinoma of the kidney is a rare histology that is encountered after radical nephrectomies. As of today, the prognosis has been poor with standard therapeutic principles that are being extrapolated from the management of clear cell renal cancer. Due to the rarity, the prognostication, need for adjuvant therapies, need for adding systemic chemotherapy for metastatic disease, contribution of cytoreductive nephrectomy and various other aspects have not been addressed properly. We only have data from a few case reports on how to manage this patient subset. Here, we present a similar case and review the data till now on management.

Sarcomatoid carcinoma of kidney, presenting with leucocytosis as paraneoplastic syndrome: A case report and short review