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Published: 2016-05-29

Pediatric Clear Cell Renal Cell Carcinoma with Pelvicalyceal System Invasion and Contiguous Extension Upto Bladder: Novel and Bizarre Tumor Behaviour

Narvir S. Chauhan, Ramesh Bharti, Bal Chander, Satish Kumar

(Department of Radiology, Dr. Rajendra Prasad Government Medical College, Kangra, India)

Pol J Radiol 2016; 81:256-260

DOI: 10.12659/PJR.896088

BACKGROUND: Paediatric renal cell carcinoma (RCC) is a rare neoplasm which differs significantly in its clinico-pathological behaviour from the adult variant. The clear cell variant constitutes a relatively small histological subset of this neoplasm.
CASE REPORT: We present a very unusual, pathologically proven case of clear cell variety of pediatric RCC which showed invasion into the pelvicalyceal system with contiguous extension up to the urinary bladder. Such a novel manifestation of paediatric RCC has not been described previously in literature. A relevant review of literature is included.
CONCLUSIONS: The aggressive biological behaviour of the paediatric RCC in our case and the consequent atypical imaging findings are distinctly unusual. These findings may represent a new aggressive variant of this rare neoplasm. The radiologist and clinician should be aware of these novel manifestations of paediatric clear cell RCC.

Keywords: Carcinoma, Renal Cell, Kidney Neoplasms, Pediatrics, Rare Diseases

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