Pediatric renal adenocarcinoma: a review of our series.
OBJECTIVE
To report our experience with pediatric renal adenocarcinoma.


METHODS
We conducted a retrospective review of renal adenocarcinoma cases from 1971 to 2006.


RESULTS
We treated 154 patients with renal tumor, 4 (2.6%) of whom had adenocarcinoma. The mean age of presentation was 8.5 years (range, 2-15 years). Three patients were female and 1 was male. The most common histologic subtype was clear cell carcinoma. Three patients were diagnosed as stage IIIB and one as stage II, according to Robson's classification. All patients were treated with radical nephroureterectomy. One patient died of disease and the other 3 are currently disease-free.


CONCLUSIONS
Adenocarcinoma is an uncommon histopathologic type of pediatric renal tumor. In patients with hematuria and abdominal or flank pain, we should consider this tumor as a possible diagnosis.
Bosquet
Manuel
M
Department of Urology, La Fe Children's Hospital, Valencia, Spain. manubosquet@hotmail.com
Domínguez
Carlos
C
Balaguer
Julia
J
Serrano
Agustin
A
Estornell
Francisco
F
Martínez-Verduch
Mario
M
García-Ibarra
Fernando
F
D000230:Adenocarcinoma / Q000175:diagnosis / Q000628:therapy; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000628:therapy; D008297:Male; D012189:Retrospective Studies