Collecting duct carcinoma (CDC) is a rare and aggressive formof renal cell carcinoma (RCC) arising fromthe epitheliumof Bellini�s\nduct. It presents earlier in life and has a poorer prognosis than the clear-cell type. Historically, immunosuppressed renal transplant\npatients are more likely to develop malignancies than the general population. We report a case of CDC of the native kidney in a\n59-year-oldman who initially underwent kidney transplantation five years before the time of presentation. To our knowledge, CDC\nin the setting of renal transplant and long-term immunosuppression has not been previously described.
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