Renal Cell Carcinoma in a 3 year - old Girl : a case report

نویسندگان

  • Shin-Lin Shih
  • Fei-Shih Yang
چکیده

A 3-year-old girl presented with vomiting for two days. Abdominal ultrasonogram revealed a mass at the lower pole of left kidney. Non-contrast enhanced abdominal computed tomography(CT) scan revealed high attenuation of the tumor and calcified lymphadenopathies in the retroperitoneum. On a contrast-enhanced CT scan, the mass was enhanced heterogenously. The patient underwent left radical nephrectomy and resection of adjacent lymph nodes. The pathology report confirmed the diagnosis of renal cell carcinoma with metastatic lymphadenopathies. Calcif ied metastatic lymph nodes adjacent to a renal mass may suggest the possibility of renal cell carcinoma. Renal cell carcinoma (RCC) is predominantly a malignancy of adults. In children, the most common primary renal cancer is Wilms’ tumor, accounting for 90% of pediatric renal malignancies [1]. RCC is extremely rare in patients younger than 20 years, accounting for less than 1% of all cases of RCC [2]. When reported, it has usually been diagnosed in preteens or adolescents [3, 4]. We describe a 3-year-old girl with RCC and the image findings of computed tomography(CT).

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تاریخ انتشار 2008