A patient presented at 29 weeks' gestation with severe hemolytic anemi
a. She was subsequently diagnosed as having renal cell carcinoma and h
ad a radical nephrectomy at 31 weeks' gestation, which demonstrated st
age I disease. This was followed by a normal vaginal delivery of a hea
lthy infant at term and complete resolution of her anemia. This unusua
l presentation of renal cell carcinoma in pregnancy is discussed.