Wilms Tumor With Hepatic and Pulmonary Metastases in a Toddler: A Case Report

Wilms tumor, also known as nephroblastoma, is the most common malignant renal tumor in children, typically diagnosed before the age of five. Diagnosis relies on a comprehensive clinical and radiological assessment to evaluate both local and distant tumor extension. We report the case of a 20-month-old female with Wilms tumor presenting initially with multiple pulmonary lesions and a solitary hepatic metastasis. Imaging, particularly computed tomography, plays a pivotal role in the accurate detection of these metastases, allowing precise staging and the planning of an appropriate therapeutic strategy. This case also highlights the importance of a multidisciplinary approach that integrates clinical, radiological, histopathological, and therapeutic data to optimize patient management.