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Wilms' tumor in horseshoe kidney: presentation due to ureteropelvic junction obstruction
J G Nirgiotis1, C T Black, J O Sherman
1Department of Surgery, University of Texas Medical School, Houston 77030.
Insights
Children with horseshoe kidney have a higher risk of Wilms' tumor. Early diagnosis is possible, even with urinary tract symptoms, highlighting the need for vigilance in these cases.
Area of Science:
- Pediatric Urology
- Nephrology
- Pediatric Oncology
Background:
- Horseshoe kidney is a congenital anomaly associated with urinary tract issues and an increased risk of Wilms' tumor.
- Wilms' tumor, a common pediatric kidney cancer, occurs more frequently in children with horseshoe kidney.
Observation:
- A case report details a child with horseshoe kidney presenting with ureteropelvic junction obstruction.
- This obstruction led to an early diagnosis of Wilms' tumor in the affected child.
Findings:
- The study highlights that ureteropelvic junction obstruction can be a presenting symptom of Wilms' tumor in children with horseshoe kidney.
- Early detection of Wilms' tumor is achievable through heightened clinical suspicion in this patient group.
Implications:
- Pediatricians and urologists should maintain a high index of suspicion for Wilms' tumor in children diagnosed with horseshoe kidney.
- Prompt evaluation of urinary tract symptoms in children with horseshoe kidney may facilitate early cancer diagnosis and treatment.
Abstract:
Children with horseshoe kidney usually develop urinary tract symptoms and often require operative correction of the anomaly. The incidence of Wilms' tumor in horseshoe kidney is higher than that for the general population. We present the case of a child whose Wilms' tumor was diagnosed early because of ureteropelvic junction obstruction secondary to a horseshoe kidney. A high index of suspicion should be maintained for Wilms' tumor in any child with a horseshoe kidney.