Due to the apparent propensity for the tumor to spread to the central nervous system, it has been suggested that prophylactic craniospinal irradiation should be considered. Prognosis
Since the cancer most often presents at an advanced stage, prognosis is generally very poor, with median survival times of 3 months (range 1–7 months). Longer survival of beyond one year was reported in one patient and of up to eight years in one individual whose tumor was well circumscribed and non-metastatic at the time of diagnosis, suggesting that early detection could dramatically improve survival. Epidemiology
As of 2009, there have been approximately 120 reported cases of renal medullary carcinoma. In every instance except for one, the patients were positive for cell sickling. Wilms tumor, the most common renal tumor of childhood, is responsible for 6-7% of childhood cancer whereas all remaining primary renal tumors (among which is included renal medullary carcinoma) collectively account for less than 1% of all childhood cancer and less than 10% of primary kidney tumors in childhood. History
Renal medullary carcinoma was first described as a clinicopathologic entity in 1995. References


== External links ==
In 1968, several workers at the countys department of health came down with a fever and mild flu symptoms, but not pneumonia. After the 1976 Legionnaires outbreak in Philadelphia, the Michigan health department re-examined blood samples and discovered the workers had been infected with the newly identified Legionella pneumophila. An outbreak caused by Legionella micdadei in early 1988 in the UK became known as Lochgoilhead fever. Since that time, other species of Legionella that cause Pontiac fever have been identified, most notably in New Zealand, in 2007 where Legionella longbeachae was discovered. The New Zealand outbreak also marked the first time Pontiac fever had been traced to potting soil. References
External links

Pontiac fever at Curlie