Infiltrative Renal Masses as the First Presentation of Acute
Lymphoblastic Leukemia and a Review of the Literature
Abstract
Acute lymphoblastic leukemia (ALL) accounts for approximately 30 percent
of all childhood cancer. Leukemic infiltration is generally present in
the bone marrow, liver and spleen. It is uncommon to demonstrate
infiltration to the kidneys as an initial presenting feature. We present
the case of an 11-year-old boy who presented with back pain, without
peripheral evidence of bone marrow involvement, who was found to have
bilateral renal masses and 70 percent leukemic blasts upon bone marrow
evaluation.