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Published on: January 7, 2018
Adult Wilms tumor during gestational period
Fransber Araújo Rodrigues1, Eduardo Carvalho Ribeiro, Romulo Maroccolo Filho
1Hospital Universitário de Brasília, Universidade de Brasília, Brasília, Brazil. fransberrodrigues@hotmail.com
Urology
|August 30, 2008
Summary
A pregnant teenager with a renal mass underwent successful nephrectomy for nephroblastoma. Early treatment, including surgery, is recommended for adults with Wilms
Area of Science:
- Urology
- Oncology
- Obstetrics
Background:
- Wilms' tumor (nephroblastoma) is a rare kidney cancer primarily affecting children.
- Management in adults, especially during pregnancy, presents unique challenges.
Observation:
- A 17-year-old pregnant patient presented with hematuria and a left renal mass.
- Magnetic resonance imaging confirmed a solid renal tumor.
Findings:
- The patient underwent radical nephrectomy at 20 weeks gestation.
- Post-surgery, she delivered a healthy infant and refused adjuvant therapy.
- She remains disease-free at 24 months follow-up.
Implications:
- This case supports surgical intervention for adult nephroblastoma, even in pregnancy.
- Early and aggressive treatment, similar to pediatric protocols, is crucial.
- Multidisciplinary care involving urology, oncology, and obstetrics is essential.
