Sarcomatoid renal cell carcinoma although a rare tumour of the kidney in adults [1%] is an aggressive neoplasm with poor prognosis [1]. On histology an epithelial type of renal cell carcinoma is combined with the sarcomatoid component as anaplastic spindle shaped cells without organisation. Sincesarcomatoid renal cell carcinoma accounts for 1020% of the patients presenting with advanced disease and mortality there is need for improved and early diagnostic and therapeutic modalities in this regard.