Renal oncocytoma is one of the most unusual benign lesions, which presents
as a complicated mass resulting in a diagnostic and therapeutic dilemma. A
new case of renal oncocytoma in a 13-year-old boy is presented. The clinoco
pathologic features of this rare entity are discussed, with special emphasi
s on diagnosis and treatment. There are no specific presumptive clinical an
d laboratory findings, including tumor markers, ploidy analysis, and imagin
g techniques that distinguish oncocytoma from other renal masses. The most
important diagnostic aid is to bear this entity in mind when a child presen
ts with an unexplained renal mass. Frozen section biopsies followed by part
ial nephrectomy are mandatory for the appropriate treatment after excluding
bilateral or multifocal occurrence. J Pediatr Surg 35:1396-1398. Copyright
(C) 2000 by W.B. Saunders Company.