Background : Tumour and tumour like lesions of kidney and renal pelvis include a wide spectrum of entities. Renal neoplasms occurs both in
adults and in children, with few rare tumours and account for 1% to 2% of all body cancers. Majority of which are RCC. Tumour and tumour like
lesions of kidney and renal pelvis may present with nonspecic clinical manifestations, incidental ndings on radiology or at autopsy, may present
with the classical triad of ank pain, haematuria and abdominal mass or can be asymptomatic. Hence histopathological examination is essential for
the diagnosis of renal neoplasms.
Material and method : It is retrospective study (July 2003 to June 2013) for a period of 10 years. Histopathological features of 38 tumours and
tumour like lesions of the kidney and renal pelvis were analysed.Out of 38 cases, 27 were nephrectomy specimens and 11 were renal biopsies The
histopathological reports and clinical details were collected and corresponding slides were reviewed. Tumours are classied according to WHO
classication 2016.
Results: The present study included 38 cases of tumour and tumour like lesions of kidney and renal pelvis. Histopathological evaluation revealed
malignant neoplasms in 27 (71.05%) cases, benign neoplasm in 5 (13.15%) cases and tumour like lesions in 6 (15.79%) cases.Among malignant
tumours, clear cell RCC was the most frequent tumour in our study observed in 13 (86.67%) cases. Overall higher numbers of tumours and tumourth th like lesions of kidney and renal pelvis were seen in the rst decade of life followed by 4 to 5 decade of life in our study with a male predominance
having M:F ratio of 1.23:1.
Conclusion: Malignant tumours outnumbered the benign tumours. Most of the malignant, benign and tumour like lesions present with similar
clinical features hence histopathology remains the gold standard method.