CONSENT:
Written informed consent was obtained from the patient according to international guidelines for the publication of this case study.
Conclusion.
Here is reported papillary RCC in a young patient without any identifiable risk factors, highlighting the importance of maintaining a high index of suspicion for malignancy in patients presenting with painless haematuria, flank pain, and weight loss, regardless of age or risk factor profile. The diagnosis and management of this case underscore the need for a multidisciplinary approach and prompt recognition of RCC, even in unexpected patient populations. This report contributes to the limited literature on papillary RCC in young patients and emphasizes the importance of individualized patient care and thorough diagnostic evaluation.