Asymptomatic advanced pediatric papillary renal cell carcinoma presenting as a pulmonary embolus.

摘要

Renal cell carcinoma in the pediatric population is a rare disease. A limited number of cases of renal cell carcinoma exist worldwide in the pediatric population. Reported herein is a case of a 17-year-old female who presented to an outside hospital with gross hematuria and shortness of breath. She was found to have a pulmonary embolus on computed tomography scan. After further imaging, a large renal mass with renal vein and vena cava involvement was observed. Intraoperatively, the tumor demonstrated extensive invasion of the wall of the vena cava.