A case of left renal cell carcinoma in a young male adult with left varicocele
Kontani, K.; Mizoguchi, H.; Nukui, F.; Kurokawa, J.; Nagata, M.; Fukui, J.
Hinyokika Kiyo. Acta Urologica Japonica 46(5): 323-325
2000
ISSN/ISBN: 0018-1994 PMID: 10876755 Document Number: 524883
A 25-year-old man presented to our hospital with the chief complaint of left-sided painless scrotal swelling. Varicocele was diagnosed and high ligation was performed. Two months later, he noticed asymptomatic gross hematuria. Transabdominal ultrasonography and abdominal computed tomographic scanning showed a left renal tumor measuring more than 10 cm in diameter. Radical nephrectomy (thoraco-abdominal approach) was performed and pathological diagnosis was granular cell carcinoma (G2, pT2, INF alpha, pNX, pMX). He then received intramuscular injections of interferon-alpha 3 million units on three days per week. The frequency of renal cell carcinoma was reported to be about 1-3% for individuals in the 20s in the recent Japanese literature, and renal cell carcinoma in a young man with left varicocele is very rare.