Renal adenocarcinoma is rare in young people. The prognosis of the con
dition would appear to be better in young people justifying a radical
treatment rationale even in cases of advanced disease. This report des
cribes a series of patients under the age of 30 with renal adenocarcin
oma and a review of the literature, The possible mechanisms for the ap
parent improved survival of patients in this age group is discussed.