Clinical and Laboratory ObservationsPrechemotherapy Robotic-assisted Laparoscopic Radical Nephrectomy for an Adolescent With Wilms TumorCost, Nicholas G. MD; Liss, Zachary J. MD; Bean, Christopher M. MD; Geller, James I. MD; Minevich, Eugene A. MD; Noh, Paul H. MDAuthor Information Divisions of *Pediatric Urology ‡Pediatric Oncology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH †Department of Surgery, Division of Urology, University of Colorado School of Medicine and the Children’s Hospital Colorado, Aurora, CO The authors declare no conflict of interest. Reprints: Nicholas G. Cost, MD, Department of Surgery, Division of Urology, University of Colorado School of Medicine and the Children’s Hospital Colorado, 13123 East 16th Avenue, B 463, Aurora, CO 80045 (e-mails: [email protected]; [email protected]). Received January 27, 2014 Accepted April 30, 2014 Journal of Pediatric Hematology/Oncology: March 2015 - Volume 37 - Issue 2 - p e125-e127 doi: 10.1097/MPH.0000000000000193 Buy Metrics Abstract Although Wilms tumor (WT) is the most common pediatric renal tumor, adolescent and adult WT is rare. Nevertheless, adolescent renal tumors as a group are sufficiently uncommon that WT must be included in the differential diagnosis for such patients, and in doing so affects the oncologic considerations of the surgery. Herein, we describe a 14-year-old female presenting with a 1-month history of right flank pain. Subsequent work-up revealed a localized, centrally located, enhancing right renal mass. The patient underwent robotic-assisted laparoscopic radical nephrectomy and pathology demonstrated stage II, favorable histology WT. Herein, we will discuss the pertinent details regarding adolescents with renal tumors and the risks and benefits of using a minimally invasive surgical approach. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.