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Infiltrative Renal Masses as the First Presentation of Acute Lymphoblastic Leukemia and a Review of the Literature
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  • Rachel Offenbacher,
  • Shenel Heisler,
  • Leanne Ostrodka,
  • Lisa Gennarini,
  • Adit Tal
Rachel Offenbacher
Children's Hospital at Montefiore, Division of Hematology/Oncology

Corresponding Author:[email protected]

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Shenel Heisler
The Children's Hospital at Montefiore Pediatrics
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Leanne Ostrodka
Children's Hospital at Montefiore
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Lisa Gennarini
The Children's Hospital at Montefiore
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Adit Tal
Children's Hospital at Montefiore
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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.