From 1955 through 1984, 17 @entity1 aged 17 years or younger were treated or seen in consultation for @entity1358 at the @entity1 's Hospital and Dana @entity5 Institute. There were 11 @entity1 and 6 @entity1 , with an average age at diagnosis of 11 years (range 4 to 17 years). Gross @entity811 and @entity812 were the most common presenting complaints, and in 5 cases there was a history of antecedent @entity130 . The @entity5 ranged in size from 2 to 15 cm. (average diameter 7.5 cm.). There were 10 @entity5 in the left kidney and 7 in the right kidney. @entity1358 displayed similar gross and microscopic features compared with counterparts in adults. The @entity1358 to @entity3 measured 3 cm. in diameter and the pathological features suggested an origin from distal collecting tubules (ducts of Bellini). There were 6 @entity5 -related @entity204 (35 per cent over-all mortality) occurring 2 months to 2 years after diagnosis. Eleven @entity1 were well, with an average duration of followup of 12 years (range 4 to 27 years). The most important prognostic factor was clinical stage at the time of diagnosis. The presence of @entity8 per se did not appear to be an adverse finding. The most optimal treatment for @entity1 with @entity1358 is radical nephrectomy with regional lymphadenectomy. While adjuvant radiation and/or chemotherapy may be used in @entity1 with more advanced stage disease, their efficacy in achieving long-term survival free of relapse or cure is not well defined.

XXXX in childhood and adolescence: a clinical and pathological study of 17 cases.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'Children', 'girls', 'boys'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal vascular invasion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Farber Cancer', 'tumor', 'tumors'] @entity812 :: ('MESH:D021501', 'Disease') :: ['abdominal or flank pain'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['smallest renal cell carcinoma', 'renal cell carcinoma', 'stage I renal cell carcinoma', 'Childhood renal cell carcinoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasize'] @entity811 :: ('MESH:D006417', 'Disease') :: ['hematuria'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1358 :: (MESH:D002292,Disease) :: ['Renal cell carcinoma']
