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Adult Wilms tumor: Case report
V Morabito1, N Guglielmo1, F Melandro1
1Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
International Journal of Surgery Case Reports
|January 2, 2015
Summary
Adult Wilms tumor (WT) is rare, especially with heart extension. This case highlights a surgical approach for managing extensive caval thrombosis in adult WT, a critical challenge for surgeons.
Area of Science:
- Urology
- Surgical Oncology
- Cardiovascular Surgery
Background:
- Adult Wilms tumor (WT) is an uncommon renal malignancy.
- Intracaval and intracardiac extension of WT is exceptionally rare in adults.
- Managing extensive tumor thrombus in the inferior vena cava (IVC) poses significant surgical risks.
Purpose of the Study:
- To describe a rare case of adult Wilms tumor with intracaval and intracardiac extension.
- To report the surgical strategy for managing caval thrombosis in this complex scenario.
- To emphasize the technical considerations for preventing hemorrhage and tumor fragmentation.
Main Methods:
- Surgical case report of a 38-year-old male with Wilms tumor.
- Surgical approach involving isolation of the inferior vena cava (IVC) from the liver.
- Morphologic and immune-histochemical analysis for diagnosis confirmation.
Main Results:
- Successful surgical management of Wilms tumor with intracaval and intracardiac extension.
- Demonstration of a technique for controlling caval thrombosis during tumor resection.
- Confirmation of Wilms tumor diagnosis through pathological examination.
Conclusions:
- Surgical intervention is feasible for adult Wilms tumor with extensive intracaval and intracardiac extension.
- Careful surgical planning and execution, including IVC isolation, are crucial for managing caval thrombosis.
- This case contributes to understanding the surgical management of rare, advanced Wilms tumor presentations.
