Renal cell carcinoma presented as fever of unknown origin: Report of one case

Chih Chono Lin; Jiunn Ming Sheen; Chie Song Shieh; Shun Chen Huang; Kao Pin Hwang

Renal cell carcinoma presented as fever of unknown origin: Report of one case

Chih Chono Lin, Jiunn Ming Sheen, Chie Song Shieh, Shun Chen Huang, Kao Pin Hwang^*

^*Corresponding author for this work

Chang Gung Memorial Hospital

Research output: Contribution to journal › Journal Article › peer-review

Abstract

A 10-year-old girl, with an intermittent fever for 15 days, visited our emergency department. Initial work-up revealed no signs of infection and no palpable abdominal mass. KUB showed only displaced bowel gas. Abdominal ultrasound was performed which disclosed a huge mass at the lower pole of the right kidney. Abdominal computed tomography (CT) confirmed a huge, heterogeneous mass arising from the right kidney and without involvement of regional lymph nodes and inferior vena cava. Radical nephrectomy was performed and Stage 2 renal cell carcinoma (RCC) was confirmed. Fever subsided spontaneously after operation. No local recurrence or distant metastasis was detected in the following 3 years. Thus, occult malignant neoplasm as infrequent as RCC should be in the list of differential diagnoses of fever of unknown origin (FUO). An abdominal ultrasound is a useful screening tool for early diagnosis of RCC.

Original language	English
Pages (from-to)	388-391+412
Journal	Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui
Volume	46
Issue number	6
State	Published - 11 2005
Externally published	Yes

Keywords

Child
Fever of unknown origin
Renal cell carcinoma

Cite this

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title = "Renal cell carcinoma presented as fever of unknown origin: Report of one case",

abstract = "A 10-year-old girl, with an intermittent fever for 15 days, visited our emergency department. Initial work-up revealed no signs of infection and no palpable abdominal mass. KUB showed only displaced bowel gas. Abdominal ultrasound was performed which disclosed a huge mass at the lower pole of the right kidney. Abdominal computed tomography (CT) confirmed a huge, heterogeneous mass arising from the right kidney and without involvement of regional lymph nodes and inferior vena cava. Radical nephrectomy was performed and Stage 2 renal cell carcinoma (RCC) was confirmed. Fever subsided spontaneously after operation. No local recurrence or distant metastasis was detected in the following 3 years. Thus, occult malignant neoplasm as infrequent as RCC should be in the list of differential diagnoses of fever of unknown origin (FUO). An abdominal ultrasound is a useful screening tool for early diagnosis of RCC.",

keywords = "Child, Fever of unknown origin, Renal cell carcinoma",

author = "Lin, {Chih Chono} and Sheen, {Jiunn Ming} and Shieh, {Chie Song} and Huang, {Shun Chen} and Hwang, {Kao Pin}",

year = "2005",

month = nov,

language = "英语",

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journal = "Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui",

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publisher = "Taiwan Pediatric Association",

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TY - JOUR

T1 - Renal cell carcinoma presented as fever of unknown origin

T2 - Report of one case

AU - Lin, Chih Chono

AU - Sheen, Jiunn Ming

AU - Shieh, Chie Song

AU - Huang, Shun Chen

AU - Hwang, Kao Pin

PY - 2005/11

Y1 - 2005/11

N2 - A 10-year-old girl, with an intermittent fever for 15 days, visited our emergency department. Initial work-up revealed no signs of infection and no palpable abdominal mass. KUB showed only displaced bowel gas. Abdominal ultrasound was performed which disclosed a huge mass at the lower pole of the right kidney. Abdominal computed tomography (CT) confirmed a huge, heterogeneous mass arising from the right kidney and without involvement of regional lymph nodes and inferior vena cava. Radical nephrectomy was performed and Stage 2 renal cell carcinoma (RCC) was confirmed. Fever subsided spontaneously after operation. No local recurrence or distant metastasis was detected in the following 3 years. Thus, occult malignant neoplasm as infrequent as RCC should be in the list of differential diagnoses of fever of unknown origin (FUO). An abdominal ultrasound is a useful screening tool for early diagnosis of RCC.

AB - A 10-year-old girl, with an intermittent fever for 15 days, visited our emergency department. Initial work-up revealed no signs of infection and no palpable abdominal mass. KUB showed only displaced bowel gas. Abdominal ultrasound was performed which disclosed a huge mass at the lower pole of the right kidney. Abdominal computed tomography (CT) confirmed a huge, heterogeneous mass arising from the right kidney and without involvement of regional lymph nodes and inferior vena cava. Radical nephrectomy was performed and Stage 2 renal cell carcinoma (RCC) was confirmed. Fever subsided spontaneously after operation. No local recurrence or distant metastasis was detected in the following 3 years. Thus, occult malignant neoplasm as infrequent as RCC should be in the list of differential diagnoses of fever of unknown origin (FUO). An abdominal ultrasound is a useful screening tool for early diagnosis of RCC.

KW - Child

KW - Fever of unknown origin

KW - Renal cell carcinoma

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SN - 0001-6578

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ER -

Renal cell carcinoma presented as fever of unknown origin: Report of one case

Abstract

Keywords

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