Granulomatosis with Polyangiitis (GPA) is a necrotizing vacuities affecting medium and small sized blood vessels and produces necrotizing granulomas often involving the upper and lower respiratory tract . GPA can present as tumor like masses in the breast and kidney. However, an association between GPA and renal cell cancer has also been reported. We report a GPA patient who presented with abdominal pain and was found to have a renal and paraspinal mass which were biopsied revealing two distinct pathologic entities. You can submit your Manuscripts at: https://symbiosisonlinepublishing.com/submitManuscript.php
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