Abstract
Introduction: Collecting duct carcinomas are seen extremely rare. In this report, a 60-year-old man, who
admitted to our clinic with hematuria, that had occurred one time in the past and left flank pain for six
months, is presented. Abdominal ultrasonography (USG), computed tomography (CT) and intravenous
pyelography (IVP) revealed a lobulated, hypoechoic, solid mass lesion, 4x8.5 cm in dimension, at the left renal
pelvis level. Left transperitoneal radical nephrectomy was performed. The histopathological diagnosis was
collecting duct carcinoma (Bellini) of papillary tubular type. Immunohistochemically, neoplastic cells had
positive immunoreactivity to cytokeratine-7 (CK-7), CEA and HMWCK. Reevaluation of the patient
demonstrated local recurrence and pulmonary metastases. Collecting duct carcinomas (CDC) are seen
extremely rare and have poor prognosis and their diagnosis are difficult.