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[Wilms' tumor in adults]

A I Neĭmark, A V Davydov, A V Mazyrko

    Urologiia I Nefrologiia
    |November 1, 1995
    PubMed
    Summary

    Adult Wilms' tumor is rare, often developing asymptomatically in adult females. Late diagnosis is common due to subclinical development, as seen in four reported cases.

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    Area of Science:

    • Nephrology
    • Oncology
    • Radiology

    Background:

    • Wilms' tumor is a rare kidney cancer primarily affecting children.
    • Adult Wilms' tumor is exceptionally rare, with limited case studies available.
    • Understanding adult Wilms' tumor presentation is crucial for timely diagnosis.

    Observation:

    • Four rare cases of adult Wilms' tumor in females aged 35-65 are presented.
    • Tumors developed subclinically over extended periods.
    • Detection occurred via palpation or abdominal ultrasonography.
    • One tumor weighed 3.5 kg, highlighting significant growth potential.

    Findings:

    • Adult Wilms' tumor often presents asymptomatically.
    • Subclinical progression leads to delayed diagnosis in adult patients.
    • Significant tumor burden can be present at diagnosis.

    Implications:

    • Increased clinical suspicion for Wilms' tumor in adults presenting with abdominal masses is warranted.
    • Abdominal ultrasonography can be a key diagnostic tool for adult Wilms' tumor.
    • Further research into the pathogenesis and optimal management of adult Wilms' tumor is needed.

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