Clear cell variant of pediatric renal cell carcinoma: Rare and challenging

Author:

Banerjee Soirindhri1,Paul Souvik1,Dastidar Aloke Ghosh1

Affiliation:

1. Department of Radiation Oncology, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, West Bengal, India

Abstract

ABSTRACT We report a very rare case of clear cell variant of renal cell carcinoma (RCC) in a 3-year-old male child, who presented to us with a left-sided lump in his abdomen. Computed tomography (CT) scan and technetium-99 Dimercapto succinic acid (DMSA) scan revealed a large left renal mass with compromised left renal function. Left-sided nephroureterectomy was done and histopathology demonstrated clear cell carcinoma, possibly translocation-associated RCC (miT family) staged as pT2NxMx. Postoperative CT scans of the thorax and whole abdomen showed secondaries in the lungs and liver. We discussed treatment options in a multidisciplinary tumor board but meanwhile the child succumbed to respiratory failure.

Publisher

Medknow

Subject

Radiology, Nuclear Medicine and imaging,Oncology,General Medicine

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