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[Nephroblastoma presenting with massive hematuria may require emergency surgery]
M S Lo Piccolo1, G P Cuneo, G Mattioli
1Divisione di Ematologia-Oncologia, Istituto G. Gaslini di Genova, Italia.
Summary
Massive hematuria in pediatric nephroblastoma is rare but can cause urinary retention. This case highlights successful emergency nephrectomy and full remission in a child with this unusual presentation.
Area of Science:
- Pediatric Oncology
- Urology
Background:
- Nephroblastoma, a common pediatric kidney cancer, typically presents with macroscopic hematuria in about 20% of cases.
- This hematuria is generally asymptomatic and considered of minor clinical significance.
Observation:
- This report details an atypical case of nephroblastoma.
- The patient presented with massive hematuria leading to extensive blood clots throughout the urinary tract and bladder.
- This severe presentation caused urinary retention, necessitating an emergency nephrectomy.
Findings:
- Radical tumor resection was performed.
- The patient experienced an uneventful postoperative recovery.
- At 18 months post-surgery, the patient remains in excellent condition with complete remission.
Implications:
- This case underscores the importance of recognizing rare but severe presentations of pediatric nephroblastoma.
- Prompt surgical intervention, even in emergencies, can lead to favorable outcomes.
- Highlights the potential for significant urinary tract complications from nephroblastoma-associated hematuria.