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Extra-Renal Wilms' Tumor: A Rare Diagnosis
Nirali Chirag Thakkar1, Yogesh Kumar Sarin1
1Department of Pediatric Surgery Maulana Azad Medical College, and associated Lok Nayak Hospital, New Delhi.
APSP Journal of Case Reports
|June 12, 2015
Summary
Extra-renal Wilms' tumor is a rare condition often misdiagnosed. This case highlights a pelvic Wilms' tumor initially presenting as an ovarian neoplasm, delaying treatment.
Area of Science:
- Pediatric Oncology
- Pathology
Background:
- Extra-renal Wilms' tumor (EWT) diagnosis is frequently delayed due to non-specific presentations.
- Early detection and treatment are crucial for favorable outcomes in pediatric malignancies.
Observation:
- A 5-year-old female presented with a 3-week history of a painless pelvic mass.
- Initial investigations including imaging and tumor markers suggested an ovarian neoplasm.
- A tru-cut biopsy also indicated a possible ovarian neoplasm.
Findings:
- Surgical excision of the pelvic mass was performed.
- Final histopathology confirmed the tumor to be a Wilms' tumor, an uncommon extra-renal presentation.
Implications:
- This case underscores the importance of considering rare diagnoses like extra-renal Wilms' tumor in pediatric pelvic masses, even with initial misleading results.
- Diagnostic delays can be minimized by maintaining a broad differential diagnosis in pediatric oncology.
- Histopathological confirmation remains essential for accurate diagnosis and appropriate therapeutic planning.
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