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Wilms tumor in a 37-year-old.

Thevendran G, Farne HA, Kaisary AV - J Clin Med Res (2010)

Bottom Line: A radical nephrectomy was performed and the patient was due for chemotherapy.Recent advances, controversies and current recommendations in the treatment of AWT are discussed.Adult; Wilms tumor; Kidney.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, St. Marys Hospital, London, UK.

ABSTRACT

Unlabelled: Wilms tumor is rare in adults. Though the approach to diagnosis and treatment of adult Wilms tumor (AWT) is closely modeled on recommendations for childhood Wilms tumor, views differ on how aggressive the treatment should be. We report a case of a 37-year-old with Stage III favorable histology AWT. A radical nephrectomy was performed and the patient was due for chemotherapy. Recent advances, controversies and current recommendations in the treatment of AWT are discussed.

Keywords: Adult; Wilms tumor; Kidney.

No MeSH data available.


Related in: MedlinePlus

Post contrast CT demonstrating a 10 cm heterogeneously enhancing mass arising from the lower pole of the left kidney. It is centrally necrotic. The mass encroaches onto the left psoas and blocks the fat plane between itself and the left psoas muscle.
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Figure 1: Post contrast CT demonstrating a 10 cm heterogeneously enhancing mass arising from the lower pole of the left kidney. It is centrally necrotic. The mass encroaches onto the left psoas and blocks the fat plane between itself and the left psoas muscle.

Mentions: A 37-year-old lady was referred by her general practitioner for a left flank mass. Enhanced Computed Tomography confirmed the presence of a 9.8 cm by 10.6 cm mass in the left flank region extending into the left iliac fossa (Fig. 1). The mass had encroached onto the left psoas major muscle with associated para aortic lymphadenopathy (Fig. 2). A staging bone scan demonstrated no evidence of metastatic disease. Renogram showed absent function of the inferior pole of the left kidney (Fig. 3) with a differential left kidney function of 35% of the total function.


Wilms tumor in a 37-year-old.

Thevendran G, Farne HA, Kaisary AV - J Clin Med Res (2010)

Post contrast CT demonstrating a 10 cm heterogeneously enhancing mass arising from the lower pole of the left kidney. It is centrally necrotic. The mass encroaches onto the left psoas and blocks the fat plane between itself and the left psoas muscle.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104656&req=5

Figure 1: Post contrast CT demonstrating a 10 cm heterogeneously enhancing mass arising from the lower pole of the left kidney. It is centrally necrotic. The mass encroaches onto the left psoas and blocks the fat plane between itself and the left psoas muscle.
Mentions: A 37-year-old lady was referred by her general practitioner for a left flank mass. Enhanced Computed Tomography confirmed the presence of a 9.8 cm by 10.6 cm mass in the left flank region extending into the left iliac fossa (Fig. 1). The mass had encroached onto the left psoas major muscle with associated para aortic lymphadenopathy (Fig. 2). A staging bone scan demonstrated no evidence of metastatic disease. Renogram showed absent function of the inferior pole of the left kidney (Fig. 3) with a differential left kidney function of 35% of the total function.

Bottom Line: A radical nephrectomy was performed and the patient was due for chemotherapy.Recent advances, controversies and current recommendations in the treatment of AWT are discussed.Adult; Wilms tumor; Kidney.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, St. Marys Hospital, London, UK.

ABSTRACT

Unlabelled: Wilms tumor is rare in adults. Though the approach to diagnosis and treatment of adult Wilms tumor (AWT) is closely modeled on recommendations for childhood Wilms tumor, views differ on how aggressive the treatment should be. We report a case of a 37-year-old with Stage III favorable histology AWT. A radical nephrectomy was performed and the patient was due for chemotherapy. Recent advances, controversies and current recommendations in the treatment of AWT are discussed.

Keywords: Adult; Wilms tumor; Kidney.

No MeSH data available.


Related in: MedlinePlus