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Synchronous bilateral Wilms' tumor in a neonate
B Gordon1, J C Manivel, R Gonzalez
1St. Paul-Ramsey Medical Center, Department of Laboratory Medicine and Pathology, University of Minnesota Hospital, St. Paul, 55101-2595, USA.
Urology
|March 1, 1996
Summary
Synchronous bilateral Wilms tumors are exceptionally rare in neonates. This case highlights the importance of considering Wilms tumor in the differential diagnosis of neonatal renal masses.
Area of Science:
- Pediatric Oncology
- Neonatal Surgery
Background:
- Wilms tumor is the most common pediatric abdominal malignancy.
- It is exceedingly rare in neonates, with fewer than 20 reported cases.
- Bilateral Wilms tumors in neonates have not been previously documented.
Observation:
- A neonate presented with synchronous bilateral Wilms tumors.
- The infant underwent successful bilateral partial nephrectomy.
- Post-operative chemotherapy was administered.
Findings:
- The patient remains disease-free 2 years after completing therapy.
- No recurrence of Wilms tumor was observed.
Implications:
- Wilms tumor must be considered in the differential diagnosis of neonatal renal masses.
- This case expands the known spectrum of Wilms tumor presentation.
- Early diagnosis and treatment are crucial for favorable outcomes in neonates.