A Case of Extrarenal Wilms' tumor in Childhood

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  • 腎外性ウイルムス腫瘍の1例

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Abstract

We report a rare case of extrarenal Wilms'tumor in Childhood. A 2 year and 6 month old boy was admitted with abdominal distention. A smooth hard mass of fist size was palpated in the left upper abdomen. On intravenous pyelography, the left kidney and ureter were displaced toward the upper outer direction. However, the left renal calyx was not deformed. On MRI examination, a well-defined, solid mass existed on the lower inner side of the left kidney. Tumor markers were within normal range. At operation, an encapsulated tumor was found attached medially to the left kidney, close to hilus. The extirpated tumor measured 8X10X7cm. Histological diagnosis was extrarenal Wilms'tumor. The patient is currently managed with chemotherapy and is active and well at 1 year after surgery.

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