OBJECTIVE. An unfortunate consequence of increased success in childhoo
d cancer survival rates is the increase in the number of secondary mal
ignant neoplasms after therapy for the initial lesion. Renal cell carc
inoma can occur as a secondary malignant neoplasm after therapy for ne
uroblastoma and may become more common as more patients with treated n
euroblastomas survive into adulthood. We studied one case and reviewed
four cases of secondary renal cell carcinoma to determine if the rela
tionship between these two neoplasms is significant. CONCLUSION. An aw
areness of the association between these two neoplasms is important in
the diagnostic follow-up of neuroblastoma so that secondary renal cel
l carcinoma is not confused with recurrence of primary disease.