Although there has been mention in the literature of the past 30 years of long-term survival of patients with renal cell carcinoma, case reports of patients who have survived for 20 years with this disease are rare.1In a study by Deming,2it was found that 19.5% of patients with cases of proved hypernephroma were alive at the end of 5 years and 14.6% were living at the end of 10 years; only 9.08% were free from tumor at the end of the 10-year period. Of the various histological forms, patients who have renal cell carcinoma growing in solid cords with isometric components and heavy trabeculae have the best prognosis.3 A 63-year-old woman was admitted for the second time to the Maimonides Hospital. Her chief complaints were generalized weakness, weight loss of 15 lb. (6.8 kg.), chest pain, and a nonproductive cough of two to three months