Clear cell adenocarcinoma is a descriptive term assigned to rare tumor
s of the urogenital tract of unknown histogenesis. Based on anatomical
location and microscopic similarities to renal cell carcinoma a meson
ephric origin has been supported.(1) To our knowledge clear cell adeno
carcinoma unassociated with the urothelium arising in the pelvis of a
male adolescent has not been reported previously. Morphological evalua
tion, including immunological staining, and electron and light microsc
opy, demonstrated characteristics similar to those of mesonephric aden
ocarcinoma despite an inability to determine the organ of origin.