Renal Cell Carcinoma as an Incidental Finding in Firefighters: A Case Series

The link between cancer, including cancers of the kidney, and occupational exposure in firefighters has been well established. Renal cell carcinoma has a tendency to present incidentally on imaging rather than with the classic symptoms of flank pain and hematuria. In this case series, we identify four firefighter patients, all of whom initially presented with a kidney tumor as an incidental finding. We examine the absence of other risk factors in these patients along with current screening guidelines. This report aims to detail how these tumors present incidentally as well as evaluate the current screening guidelines in an effort to build awareness within this population. Patient demographics, risk factors, length of firefighting career, final pathology, and postoperative recurrence were evaluated. Four males underwent successful partial or total nephrectomy. All who have had follow-up have been tumor free with renal function intact. None are dialysis dependent. The role of routine renal imaging of this population is explored.