Sarcoid reactions have been described in association with lymphomas an
d rarely with other solid tumors. We describe a patient with renal pap
illary adenocarcinoma and prominent sarcoid-like granulomatous infiltr
ation of the ipsilateral and most likely the contralateral kidney. The
re was no evidence of extrarenal granulomas. This is the first descrip
tion of impairment in renal function in a patient with renal carcinoma
and with sarcoid reaction to this tumor isolated in the kidney.