TY - EJOU AU - Henriksson, Tatiana AU - Mitchell, Katharina AU - Naili, Reima El AU - Hajiran, Ali TI - The intersection of histologies: navigating the complexity of a renal collision tumor T2 - Canadian Journal of Urology PY - 2025 VL - 32 IS - 2 SN - 1488-5581 AB - Renal cell carcinoma is a heterogeneous group of renal tumors characterized by several histological subtypes. Herein, we discuss an unusual case of a 55-year-old male who presented as a consultation to our urology clinic with an incidentally found renal mass. After shared decision making patient proceeded with a Robotic Assisted Laparoscopy (RAL) left sided partial nephrectomy. Final pathology confirmed the presence of high nuclear grade mixed clear cell and papillary renal cell carcinoma (RCC) of the left kidney (pT3aN0M0). This case elucidates a very rare incidence of a patient seen to have a collision tumor, and furthermore demonstrates guideline-based treatment. KW - renal cell carcinoma; collision tumor; mixed renal carcinoma; renal cyst; Bosniak III DO - 10.32604/cju.2025.065002