Primary renal osteosarcoma is an exceedingly rare subtype of renal malignancy, noted for its aggressive nature and often fatal outcome. The scarcity and severity of this condition have resulted in a dearth of reliable methods for early diagnosis and effective treatment. The present article contributes to the existing body of knowledge by presenting a comprehensive clinical case of a 46-year-old male patient with primary renal osteosarcoma. The detailed analysis of the clinical features, imaging characteristics, treatment approaches and prognosis of the patient in the present case aimed to enhance the understanding of renal osteosarcoma and inform clinical decision-making. The patient initially presented with painless hematuria, and further diagnostic work-up, including imaging and pathology, confirmed the diagnosis of primary renal osteosarcoma.
Keywords: diagnosis; extraskeletal osteosarcoma; primary osteosarcoma of the kidney.
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