While the initial histology favored oncocytoma, immunohistochemistry revealed strong cytokeratin (CK)7 expression with focal CD117 staining, confirming the eosinophilic subtype of ChRCC. This case illustrates the importance of thorough histopathologic work-up of renal lesions, the diagnostic value of immunohistochemistry, and the need for careful follow-up in patients with complex urologic histories. Here, KRT7 is linked to oncocytic adenoma.