Renal cell carcinoma in adolescents: A case report and review of the literature

Renal cell carcinoma is rare in adolescents. Observation of a 16-year-old girl with a clear-cell renal carcinoma prompted us to review 372 published cases in adolescents. The tumor affects the sexes indifferently and has no side predominance. The incidence is higher in white races. The most frequent presenting sign is a palpable mass (52.7%). X-ray films typically show renal calcifications (25%). The most common histotype is the clear cell carcinoma (76.8%) and at diagnosis 59.5% of these tumors already extend beyond the kidney. The overall 5-year actuarial survival rate is 60.4%

ROLE OF SURGERY IN DUCTAL CARCINOMA OF THE PANCREAS

Data of 111 patients with ductal carcinoma of the pancreas examined over a decade (1979-1989) at the I(st) Department of Surgery, "La Sapienza" University of Rome, are presented. 21.6% of them underwent pancreatic resection and 40.5% biliodigestive diversion. Resectability was 26,5% for tumors of the head, 11.8% for tumors of the body and tail, nil for diffuse tumors. Overall operative mortality was 13.5%. Only stage I patients were shown to be resectable for cure and benefited from surgery with 21% probability of 5-year survival