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Updated: Jun 28, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Adult Wilms' tumor mimicking adrenal tumor: case report]
Koji Koizumi1, Hiroya Mizusawa, Tomohiko Oguchi
1Department of Urology, Nagano National Hospital.
Abstract:
A 33-year-old woman was referred to our hospital for further examination of a right adrenal mass 4.5 cm in diameter. Hormonal findings were normal. Computed tomography, magnetic resonance image and angiograpy demonstrated non-functioning adrenal tumor. Right nephrectomy was performed, because the tumor adhered firmly to the upper pole of the right kidney. The pathological diagnosis was nephroblastoma (nephroblastic type, complex subtype). Postoperative chemotherapy was started for stage III Wilms' tumor. However, peripheral neuropathy such as numbness of the fingers developed. Therefore, chemotherapy was discontinued in the fifth week. The patient is currently alive without recurrence 17 months postoperatively. In adult patients, postoperative chemotherapy for nephroblastoma is often interrupted due to side effects. Further studies on the protocol for adults is necessary.
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