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[Wilms' tumor in patients with different abnormalities].

J I Ruiz Jiménez, F Rodrigo García, A Gutiérrez Macías

    Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
    |July 1, 1989
    PubMed
    Summary

    This study details three Wilms' tumour cases, highlighting rare congenital anomalies like Beckwith-Wiedemann syndrome and horseshoe kidneys. Two cases showed good outcomes, underscoring the importance of early diagnosis and management.

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    Area of Science:

    • Pediatric Oncology
    • Nephrology
    • Clinical Case Studies

    Background:

    • Wilms' tumour is a rare pediatric kidney cancer.
    • Congenital anomalies frequently co-occur with Wilms' tumour.
    • Understanding these associations aids diagnosis and treatment.

    Observation:

    • Case 1: Bilateral Wilms' tumour with hemihypertrophy and Beckwith-Wiedemann syndrome.
    • Case 2: Hemihypertrophy, double renal collecting system, and double renal tumour.
    • Case 3: Horseshoe kidney with a right-sided tumour and left hydronephrosis.

    Findings:

    • The presented cases illustrate diverse and complex presentations of Wilms' tumour.
    • Co-occurrence with hemihypertrophy, Beckwith-Wiedemann syndrome, duplicated collecting systems, and horseshoe kidneys is noted.

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  • Cases 2 and 3 demonstrated favorable clinical evolution.

    • Implications:

    • These cases expand the understanding of Wilms' tumour's association with congenital anomalies.
    • Highlights the need for thorough evaluation of associated anomalies in pediatric kidney tumours.
    • Suggests that timely intervention can lead to positive outcomes even in complex cases.