Objective:To investigate the clinical features of renal cell carcinoma(RCC) in young adults for improving its diagnosis and treatment.Study was dome on 31 cases at 9 male and 22 female patients were admintted in our hospital. Methods:A total of 447 cases of RCC admitted in our hospital from January 1990 to December 2006 were retrospectively studied.Among them

the clinlical data of 31 cases of RCC in young adults were analyzed and compared with those of the common RCC patients. Results:Of the 31 cases

9 cases were male and 22 cases female

with the ration as 1∶2.44.Tumors were discovered incidentally in 10 cases(32.3%) and symptomatically in 21 cases(67.6%);there were 3 cases(9.7%)of small renal cell carcinoma and the carcinoma diameter of the other 28 cases were beyond 3cm. It had no significant difference when comparing the 5-years survial rate of renal cell carcinoma in young adults(53.6%) with that of RCC in common cases(57.4%). Conclusion:It is important for the young people to do health examination and B type ultrasound is a convenient and effective way for them. Radical nephrectomy would still be the main treatment modality and NSS could be an alternative in suitable young patients.