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Renal cystic diseases are common and are often less aggressive and benign in nature. Watchful waiting is the therapeutic choice for managing simple renal cysts. Some malignant tumors of the kidney may have features of a benign renal cyst. It is challenging to determine how to manage such affections of the kidney. Very few of these cases have been reported in the literature but do not have a standard therapeutic approach. The objective of this case presentation is to discuss useful ways indoi:10.17140/uaoj-1-108 fatcat:hxcgcmjuxjg2bcubwbuidm65sm