Cardiac Complications in an Adolescent with Stage IV Renal Cell Carcinoma

Abstract

Introduction: Renal Cell Carcinoma (RCC) is an uncommon malignancy in children and adolescents, accounting for less than 5% of pediatric renal neoplasms, with an estimated incidence of 1/1000. In contrast to the adult presentation, pediatric RCC presents more symptomatically with locally advanced disease. Up to 30 % of pediatric patients with RCC present with metastatic disease. The most common locations for metastasis include the lungs, bone, liver and brain. To date, there are no published reports of cardiac complications of pediatric RCC. Case Description: A 17-year-old, previously healthy, female presented with a three-week history of productive cough, orthopnea, paroxysmal nocturnal dyspnea and …