Giant renal tumor in adolescent: a diagnostic dilemma and a surgical challenge

Abstract

Giant renal tumors filling the entire abdominal cavity are rare in adolescents and pose a surgical challenge. Unlike their pediatric counterparts, where upfront chemotherapy can be administered without histologic confirmation, management of a giant renal tumour in adolescents follows that of the adults and is primarily surgical. Herein, we report a case of 17 years old male who presented with a 15×15 cm, 3.75 kg metastatic right renal tumour filling the entire abdominal cavity and displacing the great vessels and was managed by surgical resection, as multiple attempts of obtaining a percutaneous histologic diagnosis were unsuccessful.