Service d'urologie-andrologie, CHU Aristide-Le-Dantec, avenue Pasteur, BP 35354 Dakar colobane, Sénégal.
Renal cell carcinoma (RCC) in children is rare. This entity has different clinical and biological presentation characteristics from adult RCC. In contrast to Wilms tumor, the efficacy of chemotherapy and radiation therapy in pediatric RCC remains uncertain. Debate continues on the importance of lymph node dissection. The authors present a case of RCC with lymph node involvement in a 12-year-old boy. The treatment was radical nephrectomy and a limited lymphadenectomy. No adjuvant therapy was given. After 13 months of follow-up, there is no evidence of recurrence. This case shows that lymph node involvement (in the absence of distant metastases) is not associated with a poor prognosis in pediatric RCC and that lymphadenectomy in lymph node-positive cases is important.
Article in French.
Fall B, Diao B, Sow Y, Sarr A, Fall PA, Ndoye AK, Diagne BA. Are you the author?
Reference: Arch Pediatr. 2011 Mar 31. Epub ahead of print.