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Bilateral intrarenal pelvis Wilms' tumor with fibroepithelial polyp

Jie Sun1, Wei-jing Ye, Hai-teng Zhao

  • 1Department of Surgery, Shanghai Children's Medical Center, Shanghai 200127, China. sunjiefan@hotmail.com

Journal of Pediatric Surgery
|October 18, 2005
PubMed

Insights

This case report details a rare instance of bilateral intrarenal pelvis Wilms' tumor in a young boy, linked to a fibroepithelial polyp. The child received surgical treatment and is undergoing ongoing oncological care.

Area of Science:

  • Pediatric Oncology
  • Nephrology
  • Urologic Oncology

Background:

  • Wilms' tumor, a common pediatric kidney cancer, rarely presents within the intrarenal pelvis.
  • Bilateral Wilms' tumors are uncommon, and intrarenal pelvic location further increases rarity.

Observation:

  • A 28-month-old boy presented with bilateral intrarenal pelvis Wilms' tumor.
  • The tumor was incidentally associated with a fibroepithelial polyp.
  • Diagnostic imaging included ultrasonography, computed tomography, and intravenous pyelography.

Findings:

  • The case highlights a unique presentation of Wilms' tumor in a pediatric patient.
  • Surgical intervention involved bilateral renal pelviotomies.
  • The patient is currently under the care of pediatric oncologists for treatment and follow-up.

Implications:

  • This case expands the understanding of Wilms' tumor presentation and associated anomalies.
  • It underscores the importance of thorough diagnostic evaluation for rare pediatric renal masses.
  • Management strategies for intrarenal pelvis Wilms' tumor may require tailored surgical approaches.

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