A CASE OF RENAL CELL CARCINOMA IN CHILDHOOD

Abstract

The case was a 4 year and 7 month-old female who had the chief complaint of painless gross hematuria for the past one month. Radiological examination showed a tumor in the left kidney with parahilar lymphnode metastasis. Left radical nephrectomy with lymphadnectomy was performed. Diagnosis of renal cell carcinoma was established on the basis of papillary formation by clear and granular cells. She received postoperative prophylactic chemotherapy with interferon. She is living well without metastasis one year after surgery.
47 cases of renal cell carcinoma under 10 years of age in the literature including our case were reviewed. Symptoms, pathological findings, differential diagnosis, treatment and prognosis of renal cell carcinoma in childhood were discussed.