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Stage V bilateral Wilms' Tumor

Bertagnolli RB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Stage V bilateral Wilms' Tumor

History: 5 year female with a single episode of painless hematuria which rapidly progressed to clots of blood over two days. She initially presented to the emergency room. She was instructed to follow up the next day to her primary care provider. She returned to the emergency room the next morning with right upper quadrant pain and vomiting and was found to have a right abdominal mass. A CT scan was performed at that time demonstrating bilateral renal masses as described in the images.

Findings: Bilateral heterogeneously enhancing renal masses with tumor thrombus extending into the right renal vein, IVC, and the right atrium. Bilateral neuroblastomatosis is demonstrated.

Ddx: Bilateral Wilms tumor, nephroblastomatosis

Dxhow: Bilateral renal biopsies, both showing favorable histology Wilm's tumor. No nuclear anaplasia was seen.

Exam: Right abdominal mass that did not cross the midline. UA- 2+ proteinuria, gross hematuria

No MeSH data available.


Axial CT scan demonstrating tumor thrombus extending into the right atrium.
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MPX2584_synpic19855: Axial CT scan demonstrating tumor thrombus extending into the right atrium.


Stage V bilateral Wilms' Tumor

Bertagnolli RB - MedPix

Axial CT scan demonstrating tumor thrombus extending into the right atrium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2584&req=5

MPX2584_synpic19855: Axial CT scan demonstrating tumor thrombus extending into the right atrium.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Stage V bilateral Wilms' Tumor

History: 5 year female with a single episode of painless hematuria which rapidly progressed to clots of blood over two days. She initially presented to the emergency room. She was instructed to follow up the next day to her primary care provider. She returned to the emergency room the next morning with right upper quadrant pain and vomiting and was found to have a right abdominal mass. A CT scan was performed at that time demonstrating bilateral renal masses as described in the images.

Findings: Bilateral heterogeneously enhancing renal masses with tumor thrombus extending into the right renal vein, IVC, and the right atrium. Bilateral neuroblastomatosis is demonstrated.

Ddx: Bilateral Wilms tumor, nephroblastomatosis

Dxhow: Bilateral renal biopsies, both showing favorable histology Wilm's tumor. No nuclear anaplasia was seen.

Exam: Right abdominal mass that did not cross the midline. UA- 2+ proteinuria, gross hematuria

No MeSH data available.